Active NPI
David J Elliff, PT
- Physical Therapist
- Glen Carbon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4802 S State Route 159
Glen Carbon, IL 62034-1904 - Phone
- (618) 288-4388
- Fax
- (618) 288-4927
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
4802 S State Route 159
Glen Carbon, IL 62034-1904
Mailing address
4802 S State Route 159
Glen Carbon, IL 62034-1904
Phone (618) 288-4388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1503 Lindell Blvd
Granite City, IL 62040-3837
Phone (618) 709-4125
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.03 of 100
- Quality
- 74.47
- Improvement activities
- 40
- Cost
- 66.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.014964 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Granite City Orthopedic Physicians Company LLC | Past | Accepting new patients |
Locations
1095 Belt Line Rd
Ste 400
Collinsville, IL 62234
Phone (618) 477-8550
4955 S State Route 159
Ste B
Glen Carbon, IL 62034
Phone (618) 288-4677
1503 Lindell Blvd
Granite City, IL 62040
Phone (618) 709-4125
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Centerton, AR
- NPI 1710732607
Physical Therapist
-
- Orthopaedic Surgery Physician
- Glen Carbon, IL
- NPI 1508810920
-
- Physical Therapy Clinic/Center
- Ballwin, MO
- NPI 1295929644
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891811071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 S STATE ROUTE 159",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341904",
"telephone_number": "618-288-4388",
"fax_number": "618-288-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 S STATE ROUTE 159",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341904",
"telephone_number": "618-288-4388",
"fax_number": "618-288-4927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIFF",
"first_name": "DAVID",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.