Organization Active NPI

Elevation Physical Therapy & Performance PLLC Maurice Disley Sole MBR

  • Physical Therapy Clinic/Center
  • Ludlow, MA
National Provider Identifier
1194549105
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELEVATION PHYSICAL THERAPY & PERFORMANCE PLLC MAURICE DISLEY SOLE MBR
Practice address
409 West St
Ludlow, MA 01056-1019
Phone
(413) 323-3424
NPI assigned
Nov 15, 2024
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Maurice Patrick Disley IVNPI 1225553548
Title
Physical Therapist
Phone
(413) 323-3424

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

409 West St
Ludlow, MA 01056-1019

Mailing address

58 Burnett St Apt 2
Granby, MA 01033-3312
Phone (413) 285-4015

National Provider Directory

National Provider Directory

Locations

340 McKinstry Ave
Ste 250
Chicopee, MA 01013
Phone (413) 285-4015

409 West St
Ludlow, MA 01056

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1194549105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BURNETT ST APT 2",
            "city": "GRANBY",
            "state": "MA",
            "postal_code": "010333312",
            "telephone_number": "413-285-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WEST ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561019",
            "telephone_number": "413-323-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION PHYSICAL THERAPY & PERFORMANCE PLLC MAURICE DISLEY SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "DISLEY",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "413-323-3424",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.