Organization Active NPI

Elevate Physical Therapy and Performance LLC

  • Physical Therapy Clinic/Center
  • Birmingham, AL
National Provider Identifier
1245083385
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELEVATE PHYSICAL THERAPY AND PERFORMANCE LLC
Practice address
157 Resource Center Pkwy Ste 103
Birmingham, AL 35242-8135
Phone
(229) 402-3338
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Shelley AndersonNPI 1255980181
Title
Owner
Phone
(229) 402-3338

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

157 Resource Center Pkwy Ste 103
Birmingham, AL 35242-8135

Mailing address

2212 Acton Park Cir
Birmingham, AL 35243-2555
Phone (229) 402-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708000379 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234673880 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, AL; Vestavia Hills, AL

National Provider Directory

National Provider Directory

Locations

157 Resource Center Pkwy
Ste 103
Birmingham, AL 35242
Phone (229) 402-3338

2301 Old Columbiana Rd
Vestavia Hills, AL 35216
Phone (205) 979-6100

Practitioners & affiliated clinicians

Practitioners 4

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": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1245083385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 ACTON PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432555",
            "telephone_number": "229-402-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 RESOURCE CENTER PKWY STE 103",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428135",
            "telephone_number": "229-402-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-402-3338"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.