Elijah Jerae Bishop III, PT MPT OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28284 Issued in CA

Practice address

3700 E Tachevah Dr Ste 107
Palm Springs, CA 92262-7402

Phone

(760) 459-0003

Fax

(760) 656-0614

NPI assigned

Jul 13, 2006

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

On the Move RehabGroup PAC ID 6709195316, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

53.79 of 100Reported as individual

Quality

39.76

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• On the Move Rehab

  • Physical Therapist
  • Cathedral City, CA
  • NPI 1356710925
  Medicare reassignment Care Compare group
• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  Medicare reassignment NPD
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD
• Bay Area Spine & Sport, Inc

  dba Santa Rosa Spine & Sport

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1316930076
  NPD (past)
• Infinite Physical Therapy

  • Physical Therapist
  • Rancho Mirage, CA
  • NPI 1437182060
  NPD (past)
• Le Roy Chiropractic Corporation

  • Chiropractor
  • Palm Desert, CA
  • NPI 1780986406
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1710902051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79865 CIEGO DR",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922031454",
            "telephone_number": "818-731-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 E TACHEVAH DR STE 107",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627402",
            "telephone_number": "760-459-0003",
            "fax_number": "760-656-0614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46900 Monroe St  Bldg C Ste 304",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922014829",
            "country_code": "US",
            "telephone_number": "760-289-3010",
            "fax_number": "760-863-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ELIJAH",
        "middle_name": "JERAE",
        "name_suffix": "III",
        "credential": "PT MPT OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arkady Bilenko, M.D.
• Tara Lynn Billings, DO
• Biofit Medical Corporation
• Michael Daniel Birnberg
• Giovanni Birrueta, PMHNP
• Fadi Bitar, DDS
• Alissa Karen Bixon
• Anthony M Blair, OTR/L
• Tanya Kalei Blair
• Malcolm Hosain Blake, MD

• Physical Therapist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.