Organization Active NPI

Elevation Athletics Physical Therapy and Performance

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1205590700
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELEVATION ATHLETICS PHYSICAL THERAPY AND PERFORMANCE
Practice address
5320 N Tarrant Pkwy Ste 230
Fort Worth, TX 76244-5387
Phone
(682) 800-3017
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Ryan Perez, PT, DPT, OCS, CSCSNPI 1326516840
Title
Doctor of Physical Therapy
Phone
(682) 800-3017

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 Primary

Addresses

Primary practice location

5320 N Tarrant Pkwy Ste 230
Fort Worth, TX 76244-5387

Mailing address

441 Prairie View Dr
Haslet, TX 76052-3070
Phone (909) 732-6859

National Provider Directory

National Provider Directory

Locations

5320 North Tarrant Pkwy
Ste 230
Fort Worth, TX 76244
Phone (682) 800-3017

Practitioners & affiliated clinicians

Practitioners 1

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": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1205590700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PRAIRIE VIEW DR",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523070",
            "telephone_number": "909-732-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 N TARRANT PKWY STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445387",
            "telephone_number": "682-800-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION ATHLETICS PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "682-800-3017",
        "authorized_official_credential": "PT, DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.