NPIMap

Organization Active NPI

Elevation Pediatric Therapy, LLC

  • Behavior Analyst
  • High Point, NC
National Provider Identifier
1053182006
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ELEVATION PEDIATRIC THERAPY, LLC
Practice address
4065 Premier Dr
High Point, NC 27265-8143
Phone
(336) 579-3560
Fax
(336) 579-3561
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Mr. Andrew DinkinsNPI 1659665024
Title
Ceo
Phone
(336) 579-3560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4065 Premier Dr
High Point, NC 27265-8143

Mailing address

1201 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3005
Phone (336) 579-3560

Other practice location 1

3325 Healy Dr Ste A
Winston Salem, NC 27103-1417
Phone (336) 579-3560

Other practice location 2

1201 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3005
Phone (336) 579-3560

National Provider Directory

National Provider Directory

Locations

4065 Premier Dr
High Point, NC 27265
Phone (336) 579-3560

1201 N Martin Luther King Jr Dr
Winston Salem, NC 27101
Phone (336) 579-3560

3325 Healy Dr
Ste A
Winston Salem, NC 27103
Phone (336) 768-6997

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1053182006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N MARTIN LUTHER KING JR DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013005",
            "telephone_number": "336-579-3560",
            "fax_number": "336-579-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 PREMIER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658143",
            "telephone_number": "336-579-3560",
            "fax_number": "336-579-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 Healy Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031417",
            "country_code": "US",
            "telephone_number": "336-579-3560",
            "fax_number": "336-579-3560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 N Martin Luther King Jr Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271013005",
            "country_code": "US",
            "telephone_number": "336-579-3560",
            "fax_number": "336-579-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATION PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "DINKINS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-579-3560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.