Jesse Elis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8515PT Issued in AZ

Practice address

5111 N Scottsdale Rd Unit 31
Scottsdale, AZ 85250-7075

Phone

(480) 990-1379

NPI assigned

Jun 26, 2009

Last updated

Jun 26, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Payson, AZ
  • NPI 1497222632
  NPD (past)
• North Scottsdale Physical Therapy, LLC

  dba Desert Institute Physical Therapy

  • Orthopedic Physical Therapist
  • Scottsdale, AZ
  • NPI 1497881957
  NPD (past)

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1851529986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 E GOLD DUST AVE APT 1080",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852531441",
            "telephone_number": "701-290-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD UNIT 31",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507075",
            "telephone_number": "480-990-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIS",
        "first_name": "JESSE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8515PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevated Vein Solutions LLC (EVS Imaging)
• Elevated Wellbeing OT LLC
• Elevationair
• Jasmine Avea Elia, DNP, APRN, PMHNP- BC
• Cassidy Rae Elinski, PT, DPT
• Elite Care Homes, LLC
• Elite Hospice
• Elite Labs Plus, LLC (Elite Labs Plus)
• Elite Life Care LLC (Home Helpers Home Care of Scottsdale North)
• Elite Plastic Surgery PLLC

• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.