Elevated Therapy Services

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ELEVATED THERAPY SERVICES

Practice address

1395 Logandale Dr
Logandale, NV 89021-8902

Phone

(801) 717-6445

NPI assigned

Feb 1, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Vincent Rider, PHD, MS, OTR/LNPI 1851767115

Title

Owner

Phone

(801) 717-6445

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Vincent Rider, PHD, MS, OTR/L

  • Occupational Therapist
  • Henderson, NV
  • NPI 1851767115
  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1922861012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "LOGANDALE",
            "state": "NV",
            "postal_code": "890210791",
            "telephone_number": "801-717-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 LOGANDALE DR",
            "city": "LOGANDALE",
            "state": "NV",
            "postal_code": "890218902",
            "telephone_number": "801-717-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-717-6445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Logandale, NV
• Providers in Logandale, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.