Individual provider Active NPI

Joshua Elzey, DPT

  • Physical Therapist
  • South Ogden, UT
National Provider Identifier
1902450893
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11381206-8016 Issued in UT
Practice address
1221 E 5800 S Ste 1
South Ogden, UT 84405-7140
Phone
(801) 476-2000
Fax
(801) 476-7000
NPI assigned
Jul 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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 11381206-8016 UT Primary

Addresses

Primary practice location

1221 E 5800 S Ste 1
South Ogden, UT 84405-7140

Mailing address

3303 N University Ave
Provo, UT 84604-4438
Phone (801) 373-7438

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL elzey.joshua21@gmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191008002822 UT Practitioner - Physical Therapist in Private Practice 8325379282 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11381206-8016UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fortify Physical Therapy PLLC CurrentSince Jun 22, 2021 Accepting new patients
Fyzical Audiology LLC CurrentSince Aug 6, 2019 Accepting new patients
Fortify Physical Therapy PLLC Physical Therapist CurrentSince Oct 24, 2024 Accepting new patients
Spine Orthopedic & Sports Physical Therapy LLC Physical Therapist PastSince Aug 6, 2019 Accepting new patients

Locations

3303 N University Ave
Provo, UT 84604
Phone (801) 373-7438

1221 E 5800 S
Ste 1
South Ogden, UT 84405
Phone (801) 373-7438

792 S 3000 E
St George, UT 84790
Phone (208) 431-0211

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1902450893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044438",
            "telephone_number": "801-373-7438",
            "fax_number": "801-373-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E 5800 S STE 1",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844057140",
            "telephone_number": "801-476-2000",
            "fax_number": "801-476-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZEY",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11381206-8016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "elzey.joshua21@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1221 E 5800 S Ste 1",
            "city": "South Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844057140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.