Kevin S Elo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05005012A Issued in IN

Practice address

3673 Eureka Way
Redding, CA 96001-0177

Phone

(530) 533-5030

Fax

(530) 213-5970

NPI assigned

May 23, 2006

Last updated

Feb 9, 2021By 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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prorehab Physical Therapy and Sports Performance IncGroup PAC ID 0446689798, 2 clinicians

Practice addresses (Care Compare)

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.

• Prorehab Physical Therapy and Sports Performance, Inc

  • Orthopedic Physical Therapist
  • Redding, CA
  • NPI 1699257857
  Medicare reassignment Care Compare group NPD
• Shasta Lake Physical Therapy

  • Physical Therapist
  • Shasta Lake, CA
  • NPI 1255376893
  Medicare reassignment NPD
• Western Physical Therapy, Inc.

  dba Colusa Physical Therapy

  • Physical Therapy Clinic/Center
  • Colusa, CA
  • NPI 1740216332

  Physical Therapist

  Medicare reassignment NPD
• Northern Asset Management Inc

  dba Anderson Physical Therapy

  • Physical Therapist
  • Anderson, CA
  • NPI 1679599161
  Medicare reassignment
• Western Physical Therapy, Inc.

  dba Summit Physical Therapy

  • Physical Therapist
  • Chico, CA
  • NPI 1598632697
  NPD
• Farwest Rehabilitation, Inc

  dba Mountain View Physical Therapy

  • Specialist
  • Redding, CA
  • NPI 1861406100
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1801841630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3673 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010177",
            "telephone_number": "530-533-5030",
            "fax_number": "530-213-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3673 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010177",
            "telephone_number": "530-533-5030",
            "fax_number": "530-213-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6512 Westside Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960014868",
            "country_code": "US",
            "telephone_number": "530-244-0115",
            "fax_number": "530-244-0149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELO",
        "first_name": "KEVIN",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005012A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Granville Elliott, L.AC.
• Kimberly Kay Elliott
• Timothy A Elliott, CO
• Ashley Elaine Ellis, MA, LMFT
• John Phillip Elmore, MFT
• Emergent Neurology & Telemedicine Inc
• David Emery, M.A., AMFT
• Empire Hotel Alcoholic Rehabilitation Center, Inc. (Empire Outpatient Services)
• Empire Hotel Alcoholic Rehabilitation Center, Inc. (Empire Recovery Center)
• Empire Hotel Alcoholic Rehabilitation, Inc

• Physical Therapist in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.