Elevate Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELEVATE PHYSICAL THERAPY LLC

Practice address

1601 E Bramble CT
Newberg, OR 97132-9512

Phone

(503) 290-9313

NPI assigned

Apr 7, 2021

Last updated

Apr 11, 2021By 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

Mr. Daniel Kang, PT, DPT

Title

Owner

Phone

(503) 290-9313

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Li-Zandre Philbrook, PT, DPT

  • Physical Therapist
  • Sherwood, OR
  • NPI 1497127674
  Medicare reassignment

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618099200000",
    "number": "1295314979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BRAMBLE CT",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971329512",
            "telephone_number": "503-290-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BRAMBLE CT",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971329512",
            "telephone_number": "503-290-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-290-9313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bel Duran, RN
• Jason R Duval, PA-C
• Kristina K Ebora, RN, BSN
• Ainara Echanove, PSY.D.
• Denice Michelle Edeal, CCC-SLP
• Breanne Embrey, PHARM.D.
• Emeritus Corporation (Brookdale Newberg)
• Quinn Emerson, DO
• Emily Forbes Nutrition LLC
• Sandra Lee Emmons, MD

• Physical Therapist in Newberg, OR
• Providers in Newberg, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.