NPIMap

Organization Active NPI

Elevate Physical Rehabilitation Group PLLC

Doing business as PhysioCare Physical Therapy

  • Physical Therapist
  • Woodinville, WA
National Provider Identifier
1144735721
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELEVATE PHYSICAL REHABILITATION GROUP PLLC
Doing business as
PhysioCare Physical Therapy
Practice address
17618 140TH Ave NE
Woodinville, WA 98072-6800
Phone
(425) 402-9772
Fax
(425) 402-9443
NPI assigned
Dec 5, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Andrew V Lodato, DPT
Title
Owner/Physical Therapist
Phone
(425) 402-9772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

17618 140TH Ave NE
Woodinville, WA 98072-6800

Mailing address

26837 Maple Valley Black Diamond Rd SE Ste 200
Maple Valley, WA 98038-9917
Phone (844) 567-1254

Other practice location 1

15315 1st Ave NE # 5
Duvall, WA 98019-5004
Phone (425) 788-0505

Other names 1

  • PhysioCare Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180502002440 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941564751 Receives reassigned benefits from 12 practitioners
Practice locations: Duvall, WA; Woodinville, WA

National Provider Directory

National Provider Directory

Locations

17618 140th Ave NE
Woodinville, WA 98072
Phone (425) 402-9772

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144735721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26837 MAPLE VALLEY BLACK DIAMOND RD SE STE 200",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980389917",
            "telephone_number": "844-567-1254",
            "fax_number": "425-413-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17618 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726800",
            "telephone_number": "425-402-9772",
            "fax_number": "425-402-9443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15315 1st Ave NE # 5",
            "address_purpose": "LOCATION",
            "city": "Duvall",
            "state": "WA",
            "postal_code": "980195004",
            "country_code": "US",
            "telephone_number": "425-788-0505",
            "fax_number": "425-788-3340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL REHABILITATION GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LODATO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "425-402-9772",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioCare Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.