| Sara Fabry, | |
| 
					405 E 12450 S Ste F, Draper, UT 84020-7997  | |
| (801) 571-6600 | |
| Not Available | 
| Full Name | Sara Fabry | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 405 E 12450 S Ste F, Draper, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417137423 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 121037-2401 (Utah) | Secondary | 
| 225100000X | Physical Therapist | 1210372401 (Utah) | Primary | 
| Provider Name | Elite Therapy Services Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1417405952 PECOS PAC ID: 1456632397 Enrollment ID: O20170106001802  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sara Fabry, 405 E 12450 S Ste F, Draper, UT 84020-7997 Ph: (801) 571-6600  | Sara Fabry, 405 E 12450 S Ste F, Draper, UT 84020-7997 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  | |
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, 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  |