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

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