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PEDIATRIC PM AND R
NPI 1760776223
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Salt Lake City, UT

Active since June 01, 2011
100 MARIO CAPECCHI DR, ROOM 4400, SALT LAKE CITY, UT 84113(801) 662-4949(801) 662-4931 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Pm And R NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC PM AND R (NPI 1760776223) is a healthcare organization registered as a pediatric rehabilitation medicine in Salt Lake City, Utah and active in the NPI registry since June 2011. The organization lists Elie P Elovic, Chair, as its authorized official.

NPPES Registry Identity

NPI1760776223
Entity TypeOrganization
Primary Taxonomy2081P0010X
Legal Business NamePEDIATRIC PM AND R
Location Address100 MARIO CAPECCHI DR, ROOM 4400Salt Lake City, UT 84113-1103
Mailing AddressPo Box 413032Salt Lake City, UT 84141-3032 · (801) 213-3900 · Fax (801) 585-3655
Phone(801) 662-4949
Fax(801) 662-4931
Organization SubpartNo
Authorized OfficialElie P ElovicChair · (801) 662-4949
Enumeration DateJune 1, 2011
✔ NPI 1760776223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License✔ Licensed in UT · 72775361205
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 72775361205 (UT)
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLIN CARPENTER
Pediatrics
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
DR. NICOLE JEFFREYS MD
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3578
SARAH ZOBELL NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1619
MRS. GIOVANA MARTENDAL KING NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4100
DR. STEVEN SHI-FONG WU
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2900
KRISTA SKYE VIAU MS, RD, CSP, CD
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-9590
DR. ANDREW GERALD SMITH M.D.
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3673
MARY HUNT MARTIN MD
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Pm And R's NPI number?

The NPI number for Pediatric Pm And R is 1760776223. It was assigned to this organization in the NPPES registry on June 1, 2011.

Where is Pediatric Pm And R located?

Pediatric Pm And R is located at 100 Mario Capecchi Dr Room 4400, Salt Lake City, UT 84113. The listed phone number is (801) 662-4949.

What is Pediatric Pm And R's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

What insurance does Pediatric Pm And R accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Pediatric Pm And R as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Pm And R was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.