Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Wade Phippen

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1083069025

Andrew Wade Phippen is a Physical Therapist in Private Practice in Holladay, Utah. Qualified in 1998, 28 years ago. Practices with Elite Healthcare Providers LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
28
Licensed in
UT
In the registry since
2016

Practice location Address checks out

2960 E Casto Ln
Holladay, UT 84117-7123
Phone: (801) 556-1866
Fax: (801) 649-5966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 383 E 60 S, American Fork, UT 84003-3835 — (801) 576-6417

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 284016-2401 (UT)

Record details

NPI number1083069025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2016
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021
Mailing address2960 E Casto Ln, Holladay, UT 84117-7123

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Elite Healthcare Providers Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Holladay