Elevate Dynamics Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELEVATE DYNAMICS PHYSICAL THERAPY PLLC

Practice address

5714 Old Sunrise Hwy
Massapequa, NY 11758-5541

Phone

(516) 500-3691

NPI assigned

Sep 3, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Chan, PT, DPTNPI 1992273767

Title

Physical Therapist

Phone

(516) 754-0490

Specialties & licenses 1

Addresses

Locations

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.

• Matthew Chan, DPT

  • Physical Therapist
  • Merrick, NY
  • NPI 1992273767
  NPD Authorized official

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1225863111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BARNUM AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036005",
            "telephone_number": "516-754-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 OLD SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585541",
            "telephone_number": "516-500-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE DYNAMICS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-754-0490",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcie Edwardes, LMT
• Lovan Edwards, PTA
• James J Egan, PT
• Seth Eisen, M.D.
• Ernie Paul Eisenberg, D.C.
• David Elfawal, LMT
• Stephanie Elie Pierre
• Emerge Yoga & Wellness (Emerge Integrative Wellness)
• Kristin English, MD
• Eninnaj Skin & Body LLC

• Physical Therapy Clinic/Center in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.