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

Elmer Faculo III

Individual provider Physical Therapist · NPI 1841006681

Elmer Faculo III is a Physical Therapist in Private Practice in Casa Grande, Arizona. Qualified in 2021, 5 years ago. Licensed in Arizona and California.

Years since qualifying
5
Licensed in
AZ, CA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1485 E Florence Blvd Ste 105
Casa Grande, AZ 85122-4797
Phone: (520) 494-3058
Fax: (520) 214-5059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 305810 (CA)
Physical Therapist Taxonomy 225100000X (AZ)

Record details

NPI number1841006681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Casa Grande