Elevate Concierge Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELEVATE CONCIERGE PHYSICAL THERAPY, PLLC

Practice address

13203 Overcup Oak CT Apt 302
Herndon, VA 20171-4888

Phone

(571) 519-8826

Fax

(571) 388-3161

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Eleanor Ames, PT, DPT, MTC, CLTNPI 1063898625

Title

Owner, Physical Therapist

Phone

(860) 942-9978

Specialties & licenses 1

Addresses

Practitioners 1

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

• Eleanor Ames, PT, DPT, MTC, CLT

  • Physical Therapist
  • Herndon, VA
  • NPI 1063898625
  NPD Authorized official

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1174261200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 OVERCUP OAK CT APT 302",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714888",
            "telephone_number": "571-519-8826",
            "fax_number": "571-388-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 OVERCUP OAK CT APT 302",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714888",
            "telephone_number": "571-519-8826",
            "fax_number": "571-388-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE CONCIERGE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "860-942-9978",
        "authorized_official_credential": "PT, DPT, MTC, CLT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tajammul Ehsan, MD
• Melanie Elan, DPT
• Elden St. Pediatrics
• Catherine Cole Elder, NP
• Rachel Eldering, RDN, LDN
• Elevate Oral Surgery
• Elhady Dental PLLC
• Elham Safari D.D.S., P.C.
• Elizabeth M Weaver, M.D., P.L.C.
• Ellen Edwards, PLLC

• Physical Therapy Clinic/Center in Herndon, VA
• Providers in Herndon, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.