Elevate Physical Therapy
Organization Active NPI Physical Therapist · Windham, NH
NPI 1033980552 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1033980552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ELEVATE PHYSICAL THERAPY
- Practice address
- 9 Edgewood Rd
Windham, NH 03087-2106 - Phone
- (617) 233-7442
- NPI assigned
- Jan 12, 2024
- Organization subpart
- No
Authorized official
- Name
- Colleen Muldoon Brauch, PT
- Title
- Physical Therapist
- Phone
- (617) 233-7442
Practitioners 1
-
Colleen M Brauch, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240826002417 | MA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1153860820 |
Receives reassigned benefits from 1 practitioner Practice locations: Andover, MA |
| O20241119004132 | NH | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1153860820 |
Receives reassigned benefits from 1 practitioner Practice locations: Windham, NH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
9 Edgewood Rd
Windham, NH 03087-2106
Mailing address
9 Edgewood Rd
Windham, NH 03087-2106
Phone (617) 233-7442
Other providers in Windham, NH
- Monica Doble
- Michael Eric Donati
- Kaitlyn Doucakis
- Sharon Dougherty
- Emily Jeanne Dunkley
- Elite Care Physical Therapy
- Elliot Physician Network
- Elliot Physicians Network
- Alyssa Leigh Faro
- Michelle Fecteau
All providers in Windham, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.