Elevate Physical Therapy LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

ELEVATE PHYSICAL THERAPY LLC

Practice address

4463 S 110TH St
Omaha, NE 68137-1216

Phone

(402) 427-3169

NPI assigned

Dec 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Josiah David Parker, PT, DPTNPI 1386057289

Title

Owner

Phone

(402) 202-4738

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josiah David Parker, PT, DPT

  • Physical Therapist
  • Omaha, NE
  • NPI 1386057289
  NPD Authorized official
• Reana Mulcahy, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Omaha, NE
  • NPI 1821685611
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616803200000",
    "number": "1033756242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 S 110TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371216",
            "telephone_number": "402-427-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 S 110TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371216",
            "telephone_number": "402-427-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JOSIAH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-202-4738",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOSIAH NPI NUMBER",
            "identifier": "1386057289",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JULIE'S NPI NUMBER",
            "identifier": "1598071078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyondai Elem
• Keyonis Chardai Elem
• Tanisha Elem
• Element Primary Care, LLC
• Elevate Chiropractic LLC
• Elevate Recovery and Medspa
• Mayat Elezai
• Jaimie Elffner, PLMHP
• Mohamed Elfil, MD
• Elisabeth Anne Elgan

• Orthopedic Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Orthopedic Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.