MR. JOHN ROBERT ELMER (DPT) – Physical Therapist, NPI 1366477093

MR. JOHN ROBERT ELMER (DPT) is a healthcare provider. based in Bountiful, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 3923 (NV). The NPI Number for MR. JOHN ROBERT ELMER (DPT) is 1366477093

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN ROBERT ELMER (DPT)
NPI
1366477093
Phone
(801) 294-6907
Address
PO BOX 307
Enumeration Date
11 July 2006
Last Update Date
26 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
3577556141
Group Practice PAC ID
8022067198
Professional Enrollment ID
I20190426000932
Address ID
UT840292501GR163XXSXXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for MR. JOHN ROBERT ELMER (DPT)

  • PO BOX 307

    BOUNTIFUL, UT 840110307

    Phone: (801) 294-6907

    Fax: (801) 294-6917

    Type: Mailing

  • 225 E MAIN ST STE F

    GRANTSVILLE, UT 840299031

    Phone: (385) 249-8101

    Fax: (435) 882-9846

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190426000932IPhysical Therapist In Private PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes54149$0
97530Therapy procedure using functional activities33141$0
97140Therapy procedure using manual technique, each 15 minutes30951$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes21532$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care17739$0
View full utilization report →

Insurance plans in this area (ZIP 84011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022067198View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

Where can patients find MR. JOHN ROBERT ELMER (DPT)'s NPI?
You can confirm MR. JOHN ROBERT ELMER (DPT) with NPI 1366477093; it appears in the national provider directory.
Is MR. JOHN ROBERT ELMER (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. JOHN ROBERT ELMER (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MR. JOHN ROBERT ELMER (DPT). Clinical services aligned with this taxonomy classification.
What location shows for MR. JOHN ROBERT ELMER (DPT)?
We surface Bountiful, Utah for MR. JOHN ROBERT ELMER (DPT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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