PEDIATRIC PM AND R – Pediatric Rehabilitation Medicine Physician, NPI 1760776223

PEDIATRIC PM AND R is a healthcare provider. based in Salt lake city, Utah. specializing in Pediatric Rehabilitation Medicine Physician. The organization holds a License No. 72775361205 (UT). The NPI Number for PEDIATRIC PM AND R is 1760776223

Main info

Organization
Name
PEDIATRIC PM AND R
NPI
1760776223
Phone
(801) 213-3900
Address
PO BOX 413032
Authorized Official
DR. ELIE P ELOVIC CHAIR MD
Enumeration Date
1 June 2011
Last Update Date
1 June 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for PEDIATRIC PM AND R

  • PO BOX 413032

    SALT LAKE CITY, UT 841413032

    Phone: (801) 213-3900

    Fax: (801) 585-3655

    Type: Mailing

  • 100 MARIO CAPECCHI DR

    ROOM 4400

    SALT LAKE CITY, UT 841131103

    Phone: (801) 662-4949

    Fax: (801) 662-4931

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84141)

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Reviews

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Frequently asked questions

Can I verify PEDIATRIC PM AND R with an NPI only?
You can start verification with NPI 1760776223 for PEDIATRIC PM AND R, then check state licensing separately.
Does CMS list PEDIATRIC PM AND R as active?
Yes — PEDIATRIC PM AND R is active in the NPI listing used on this page.
What is PEDIATRIC PM AND R best known for clinically?
Directory data describes PEDIATRIC PM AND R with Pediatric Rehabilitation Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for PEDIATRIC PM AND R?
PEDIATRIC PM AND R's geographic hint is Salt Lake City, Utah in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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