Elevate Sports Medicine Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELEVATE SPORTS MEDICINE INC

Practice address

147 W 400 N
Orem, UT 84057-4658

Phone

(801) 221-9060

Fax

(801) 221-9071

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Richard Hart, BS, ATC

Title

Owner

Phone

(801) 221-9060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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

• Katherine Larochelle

  • Physical Therapist
  • South Jordan, UT
  • NPI 1568142206
  Medicare reassignment Care Compare group NPD
• Matthew Archibald Scott, DPT, ATC

  • Physical Therapist
  • Orem, UT
  • NPI 1174806624
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1154573848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W 400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057",
            "telephone_number": "801-221-9060",
            "fax_number": "801-221-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W 400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574658",
            "telephone_number": "801-221-9060",
            "fax_number": "801-221-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-221-9060",
        "authorized_official_credential": "BS, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady C Eisert, LMFT
• Laura Eisert
• Joseph Elder, CMHC
• Katie Eldridge
• Elevate Chiropractic
• Adam Mohsin Elhaddi, M.D.
• Justin R Eliason, PHARMD
• Elite Anesthesia Associates
• Elite Orthopedic Surgery and Sports Medicine
• Brinlee Shay Eller

• Physical Therapy Clinic/Center in Orem, UT
• Providers in Orem, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.