| Elaina Scott Gregerson, PT, DPT | |
|
280 N Main St, Bountiful, UT 84010-6136 | |
| (559) 936-3257 | |
| Not Available |
| Full Name | Elaina Scott Gregerson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 280 N Main St, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275004954 | NPI | - | NPPES |
| PT295809 | Medicaid | CA | |
| 11055135-2401 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT295809 (California) | Secondary |
| 225100000X | Physical Therapist | 11055135-2401 (Utah) | Primary |
| Provider Name | Tiltons Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235799941 PECOS PAC ID: 7719219948 Enrollment ID: O20191021002923 |
| Mailing Address | Practice Location Address |
|---|---|
| Elaina Scott Gregerson, PT, DPT 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (559) 936-3257 | Elaina Scott Gregerson, PT, DPT 280 N Main St, Bountiful, UT 84010-6136 Ph: (559) 936-3257 |
Jaren Weber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 E 500 S Ste 104, Bountiful, UT 84010 Phone: 801-292-5011 | |
Mr. Robert Allen Hawkes, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1551 S Renaissance Twn Dr, Suite 420 Sportsmed Physical Therapy, Bountiful, UT 84010 Phone: 801-295-8999 Fax: 801-292-4168 | |
Jessica Elizabeth Sherman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N Main St, Bountiful, UT 84010 Phone: 801-397-8700 | |
Michael Carl Warren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 E 500 S Ste 104, Bountiful, UT 84010 Phone: 801-292-5011 Fax: 801-292-8222 | |
Jessie Balicki, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 523 N Main St, Bountiful, UT 84010 Phone: 801-951-2273 | |
Mr. Robert J Larsen, MPT ATG Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1551 S Renaissance Twn Dr, Suite 420, Bountiful, UT 84010 Phone: 801-295-8999 Fax: 801-292-4168 | |
Mrs. Stephanie Jackson, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Renaissance Towne Dr Ste 350, Bountiful, UT 84010 Phone: 801-295-3553 Fax: 801-295-3599 |