Elite Rehab Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

72980272401 Issued in UT

Legal business name

ELITE REHAB PHYSICAL THERAPY

Practice address

425 S Vernal Ave
Vernal, UT 84078-3237

Phone

(435) 781-1502

Fax

(435) 781-1505

NPI assigned

Jun 27, 2016

Last updated

Jun 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brad Leigh Stilson, DPTNPI 1609006741

Title

Physical Therapist-Owner

Phone

(435) 781-1502

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brad Stilson, DPT

  • Physical Therapist
  • Vernal, UT
  • NPI 1609006741
  Medicare reassignment Care Compare group NPD Authorized official
• Devin Bradley, DPT

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1649881392

  UT

  Medicare reassignment Care Compare group NPD
• Jesse Max Rowell, OT

  • Specialist
  • Vernal, UT
  • NPI 1457580169
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1336590835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S VERNAL AVE",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840783237",
            "telephone_number": "435-781-1502",
            "fax_number": "435-781-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S VERNAL AVE",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840783237",
            "telephone_number": "435-781-1502",
            "fax_number": "435-781-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHAB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "STILSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST-OWNER",
        "authorized_official_telephone_number": "435-781-1502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "72980272401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Lalani Dunn, FNP-C
• McKenzie Durrant
• Eastern Utah Early Intervention, Inc. (PrimeTime 4 Kids)
• Trilby Jade Elam, RDH
• Scott Douglas Elder, DDS
• Ellsworth Foot and Ankle Clinic (Summit Foot and Ankle)
• Emdr 808 Pacific Counseling
• David William Emmett, MSW
• Equine Healing Hearts
• Russell J Erickson, PT

• Physical Therapist in Vernal, UT
• Providers in Vernal, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.