Healthcare Provider Details

I. General information

NPI: 1801735576
Provider Name (Legal Business Name): ELEVATE PHYSICAL THERAPY - EPHRAIM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 E 450 N
EPHRAIM UT
84627-4027
US

IV. Provider business mailing address

38 E 450 N
EPHRAIM UT
84627-4027
US

V. Phone/Fax

Practice location:
  • Phone: 435-610-2300
  • Fax: 435-610-2301
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY HUGHES
Title or Position: OWNER
Credential:
Phone: 435-610-2300