Healthcare Provider Details

I. General information

NPI: 1134704083
Provider Name (Legal Business Name): ELEVATE PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S SAGE DR STE 102
CEDAR CITY UT
84720-1838
US

IV. Provider business mailing address

888 S SAGE DR STE 102
CEDAR CITY UT
84720-1838
US

V. Phone/Fax

Practice location:
  • Phone: 435-233-7006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY JAMES HUGHES
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 435-592-4165