MEDICARE: ELEVATE PHYSICAL THERAPY - EPHRAIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1801735576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE PHYSICAL THERAPY - EPHRAIM

Provider Business Mailing Address
First Line	:	38 E 450 N
Second Line	:
City	:	EPHRAIM
State	:	UT
Zip	:	84627-4027
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 E 450 N
Second Line	:
City	:	EPHRAIM
State	:	UT
Zip	:	84627-4027
Country	:	US
Telephone Number	:	435-610-2300
Fax Number	:	435-610-2301

Authorized Official
Title or Position	:	OWNER
Name	:	TIMOTHY HUGHES
Credential	:
Telephone Number	:	435-610-2300

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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