Trevor W Pettingill, MPT | |
555 S Bluff St Ste 102, St George, UT 84770-7321 | |
(435) 215-1866 | |
(435) 215-1844 |
Full Name | Trevor W Pettingill |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 20 Years |
Location | 555 S Bluff St Ste 102, St George, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033291075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11729395-2401 (Utah) | Primary |
225100000X | Physical Therapist | PT00009504 (Washington) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Physical Therapy Group Llc | 2668540337 | 11 |
Stride Physical Therapy Group, Llc | 4284049479 | 4 |
Provider Name | Elite Physical Therapy Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821256298 PECOS PAC ID: 2668540337 Enrollment ID: O20081008000132 |
Mailing Address | Practice Location Address |
---|---|
Trevor W Pettingill, MPT 8501 171st Street Ct E, Puyallup, WA 98375-6181 Ph: (253) 732-8116 | Trevor W Pettingill, MPT 555 S Bluff St Ste 102, St George, UT 84770-7321 Ph: (435) 215-1866 |
Jed Hurst, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 652 S Medical Center Drive #ll-10, St George, UT 84790 Phone: 435-251-2250 Fax: 435-251-2255 | |
Michael Locke Ettinger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 Fax: 435-688-4002 | |
Southwest Neurological Rehabilitation Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 N 200 E, 3e, St George, UT 84770 Phone: 435-628-5194 | |
Kirk L Terry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 736 South 900 East, St George, UT 84790 Phone: 435-673-2781 Fax: 435-652-8555 | |
Matthew Oakden, Physical Therapist Medicare: Medicare Enrolled Practice Location: 652 S Medical Center Dr Lowr Level, St George, UT 84790 Phone: 435-251-2250 Fax: 435-251-2255 | |
Mr. Stephen Jason Tomlinson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1424 E Foremaster Dr Ste 120, St George, UT 84790 Phone: 435-656-8800 Fax: 435-627-1809 |