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

Individual provider Orthopedic Physical Therapist · NPI 1164154357

Elijah Cagle Gilmore, PT, DPT is a Physical Therapist in Private Practice in Salt Lake City, Utah. Qualified in 2022, 4 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4624 S Holladay Blvd Ste 2
Salt Lake City, UT 84117-7169
Phone: (801) 277-1028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1164154357
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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