Gary S. Elises, Physical Therapist
Physical Therapist in Pella, IA. Individual provider (NPI-1).
NPI number1376733253
StatusActive
Last updated in NPPESApr 25, 2022
Details
- NPI
- 1376733253
- Entity type
- Individual (NPI-1)
- Name
- Gary S. Elises
- Credential
- Physical Therapist
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2007
- Certification date
- Apr 25, 2022
- Last updated
- Apr 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 04016 | IA | Yes |
Practice location
405 Monroe StPella, IA 50219-1189
Phone 641-628-3832 · Fax 641-628-8894
Mailing address
405 Monroe StPella, IA 50219-1189
Phone 641-628-3832 · Fax 641-628-8894
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Physical Therapist providers in Pella · All 400 providers in Pella
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