John Robert Elmer, DPT
Individual provider Active NPI Physical Therapist · Grantsville, UT
NPI 1366477093 · NPPES record last updated Mar 26, 2019
Key facts
- NPI
- 1366477093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3923 (NV)
- Practice address
- 225 E Main St Ste F
Grantsville, UT 84029-9031 - Phone
- (385) 249-8101
- Fax
- (435) 882-9846
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grantsville Physical Therapy PLLC
Practice addresses (Care Compare)
163 S
112 Suite 101 105
Grantsville, UT 84029
Phone (435) 884-0324
163 S
112 Suite 101 105
Grantsville, UT 84029-2501
822 E Main St
Suite 16
Grantsville, UT 84029-2501
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190426000932 | UT | Practitioner - Physical Therapist in Private Practice | 3577556141 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3923 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grantsville Physical Therapy PLLC | Physical Therapist | Current |
Accepting new patients |
| Rocky Mountain Therapy Services West Jordan LLC | Physical Therapist | Current |
Accepting new patients |
| Foothills Physical Therapy LLC | Physical Therapist | Past |
Accepting new patients |
Locations
822 E Main St
Ste 16
Grantsville, UT 84029
Phone (435) 882-1263
163 S SR 112 Hwy
Ste 101
Grantsville, UT 84029
Phone (435) 884-0324
8822 S Redwood Rd
Ste E122
West Jordan, UT 84088
Phone (801) 256-0009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3923 | NV | Yes |
Addresses
Primary practice location
225 E Main St Ste F
Grantsville, UT 84029-9031
Mailing address
PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907
Other providers in Grantsville, UT
- Micah Douglas
- Cadence Dowdle
- Ashley Drexler
- Johari Dupont
- Haley Deann Durrant
- Jessica Evans
- Samuel Timothy Farra
- Celeste Felton
- Arianna Flores Avalos
- Frandsen Family Dental Group PLLC
All providers in Grantsville, UT · Physical Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.