| Elite Therapy Services Llc | |
|
12198 S State St, Suite 3, Draper, UT 84020-9647 | |
| (801) 571-6600 | |
| (801) 571-7646 |
| Full Name | Elite Therapy Services Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12198 S State St, Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417405952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5401450-2401 (Utah) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | 5401450-2401 (Utah) | Secondary |
| Provider Name | Steven E Robbins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225038474 PECOS PAC ID: 6103714498 Enrollment ID: I20040308001467 |
| Provider Name | Sara Jane Fabry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417137423 PECOS PAC ID: 4486028461 Enrollment ID: I20230314001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Therapy Services Llc 12198 S State St, Suite 3, Draper, UT 84020-9647 Ph: (801) 571-6600 | Elite Therapy Services Llc 12198 S State St, Suite 3, Draper, UT 84020-9647 Ph: (801) 571-6600 |
Thomas J Tardif, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034 | |
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070 | |
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Justin Guillot, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 Fax: 385-308-8034 | |
Mrs. Tesha Caldwell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 |