Individual provider Active NPI

Timothy James Hughes

  • Physical Therapist
  • Cedar City, UT
National Provider Identifier
1609413871
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11530271-2401 Issued in UT
Practice address
888 Sage Dr Ste 102
Cedar City, UT 84720-1838
Phone
(435) 233-7006
NPI assigned
Dec 5, 2019
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11530271-2401 UT Primary

Addresses

Primary practice location

888 Sage Dr Ste 102
Cedar City, UT 84720-1838

Mailing address

1940 S Bonito Way Ste 190
Meridian, ID 83642-5618
Phone (208) 287-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200211001645 UT Practitioner - Physical Therapist in Private Practice 6507292570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Physical Therapy PLLCGroup PAC ID 5496152548, 8 clinicians

Practice addresses (Care Compare)

888 S Sage Dr
Suite 102
Cedar City, UT 84720-1838
Phone (435) 233-7006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11530271-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy PLLC Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients
Elevate Physical Therapy - Ephraim Physical Therapist CurrentSince Apr 1, 2026 Accepting new patients

Locations

1940 S Bonito Way
Ste 190
Meridian, ID 83642

888 Sage Dr
Ste 102
Cedar City, UT 84720
Phone (435) 233-7006

38 E 450 N
Ephraim, UT 84627
Phone (435) 610-2300

1490 E Foremaster Dr
Ste 110
St George, UT 84790
Phone (435) 288-2242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1609413871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BONITO WAY STE 190",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425618",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 SAGE DR STE 102",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201838",
            "telephone_number": "435-233-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11530271-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.