NPIMap

Organization Active NPI

Elevate Physical Therapy, Inc.

  • Physical Therapist
  • Gallatin, TN
National Provider Identifier
1114561503
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELEVATE PHYSICAL THERAPY, INC.
Practice address
1529 Hunt Club Blvd Ste 100
Gallatin, TN 37066-6066
Phone
(615) 714-8732
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Jesse DavenportNPI 1851748958
Title
Co-Owner
Phone
(615) 714-8732

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1529 Hunt Club Blvd Ste 100
Gallatin, TN 37066-6066

Mailing address

1529 Hunt Club Blvd Ste 100
Gallatin, TN 37066-6066
Phone (615) 714-8732

Other identifiers 1

IdentifierTypeStateIssuer
1336524693OtherKYUNKNOWN

National Provider Directory

National Provider Directory

Locations

1529 Hunt Club Blvd
Ste 100
Gallatin, TN 37066
Phone (615) 714-8732

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": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1114561503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 HUNT CLUB BLVD STE 100",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666066",
            "telephone_number": "615-714-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 HUNT CLUB BLVD STE 100",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666066",
            "telephone_number": "615-714-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "615-714-8732"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "1336524693",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.