Elevate Total Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELEVATE TOTAL WELLNESS LLC

Practice address

1647 Nashville Pike
Gallatin, TN 37066

Phone

(615) 714-8732

Fax

(615) 442-7725

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Jesse DavenportNPI 1851748958

Title

Director

Phone

(615) 714-8732

Specialties & licenses 3

Addresses

Other names 1

• The Movement Shop Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

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

• Jesse Davenport

  • Physical Therapist
  • Gallatin, TN
  • NPI 1851748958
  Medicare reassignment NPD Authorized official
• Kristi H Roland, DPT

  • Orthopedic Physical Therapist
  • Madison, TN
  • NPI 1164498382
  Medicare reassignment NPD
• Jenny Williams, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Mt Juliet, TN
  • NPI 1073329843
  Medicare reassignment
• Michelle J Lineberry, PT - MHS

  • Physical Therapist
  • Gallatin, TN
  • NPI 1104886456
  NPD
• Lauri Salani, PT

  • Physical Therapist
  • Gallatin, TN
  • NPI 1427758424
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1053041996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BABER PARK WEST",
            "address_2": "SUITE 160",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-461-7833",
            "fax_number": "615-442-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 NASHVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-714-8732",
            "fax_number": "615-442-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE TOTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-714-8732"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Movement Shop",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Movement Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edgar Swan
• Edquity at the Margins
• Edward P Blochowiak
• Don J Elazar, MD
• Elevate Physical Therapy, Inc.
• Amanda Elliott, RN
• Madeline R Ellis, MD
• Anthony Ellison, FNP-C
• Emb Dentistry PC
• Margaret Embody, LMFT

• Physical Therapist in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.