Phoenix Rising Transformational Wellness PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHOENIX RISING TRANSFORMATIONAL WELLNESS PLLC

Practice address

300 Read St Ste a
Lockport, IL 60441-3265

Phone

(630) 776-9216

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Erin McElheny, DPTNPI 1871771865

Title

Physical Therapist

Phone

(630) 776-9216

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Erin McElheny, DPT

  • Physical Therapist
  • Lockport, IL
  • NPI 1871771865
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1265164115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 LE JEUNE AVE",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413139",
            "telephone_number": "630-776-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 READ ST STE A",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413265",
            "telephone_number": "630-776-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING TRANSFORMATIONAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "MCELHENY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "630-776-9216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia H. Simpson, O.D., LTD.
• Dena M Perillo
• Melissa Ann Peterson, MSW, LSW
• Karen Lynn Pfeiffer
• Vidit Atul Phanse
• Amanda R Pieper
• Susan A Pierce, LCPC
• Jordan Pollard
• Brian Andrew Prentice, DDS
• Prime Urology LTD

• Physical Therapy Clinic/Center in Lockport, IL
• Providers in Lockport, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.