Elevated Performance and Rehabilitation

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

ELEVATED PERFORMANCE AND REHABILITATION

Practice address

1710 E 5600 S
Ogden, UT 84403

Phone

(801) 689-2546

NPI assigned

Jul 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy Eugene Speicher, PHD, AT, LAT, CSCSNPI 1093709644

Title

President

Phone

(801) 689-2546

Specialties & licenses 1

Addresses

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Eugene Speicher, ATC

  • Athletic Trainer
  • Middletown, CT
  • NPI 1093709644
  NPD Authorized official
• Miranda L Devine, LMT

  • Massage Therapist
  • Ogden, UT
  • NPI 1699495556
  NPD
• Carrie King

  • Massage Therapist
  • South Ogden, UT
  • NPI 1588539704
  NPD
• Kaitlyn Owen, DPT

  • Physical Therapist
  • South Ogden, UT
  • NPI 1093203879
  NPD
• Lacey White, DPT

  • Physical Therapist
  • Ogden, UT
  • NPI 1306407937
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1285313452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E 3150 N",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844141838",
            "telephone_number": "203-895-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E 5600 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-689-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED PERFORMANCE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "SPEICHER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-689-2546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, AT, LAT, CSCS"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Larre Egbert, MD
• Ashley Dawn Eggers, M.D.
• Randall Elcess
• Elena L Goncharova MD PC
• Elevate Surgical PC
• Mayte Janeth Elias-Zuniga
• Eric G Eliason, D.O.
• Kyle Joseph Eliason, M.D.
• Elite Corrections Chiropractic
• Ashley Ellis

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.