Organization Active NPI

Elevate Wellness and Physical Therapy, LLC

  • Physical Therapist
  • Woodland Park, CO
National Provider Identifier
1336036540
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELEVATE WELLNESS AND PHYSICAL THERAPY, LLC
Practice address
1231 W Midland Ave
Woodland Park, CO 80863-2343
Phone
(719) 400-8091
Fax
(719) 400-8091
NPI assigned
Jun 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Dr. Kelly McCall Knott, PHYSICAL THERAPISTNPI 1922636091
Title
Owner
Phone
(719) 400-8091

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1231 W Midland Ave
Woodland Park, CO 80863-2343

Mailing address

1231 W Midland Ave
Woodland Park, CO 80863-2343
Phone (719) 400-8091

Other practice location 1

520 W Midland Ave
Woodland Park, CO 80863-1009
Phone (719) 400-8091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251216002330 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274027347 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Park, CO

National Provider Directory

National Provider Directory

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": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1336036540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 W MIDLAND AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632343",
            "telephone_number": "719-400-8091",
            "fax_number": "719-400-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 W MIDLAND AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632343",
            "telephone_number": "719-400-8091",
            "fax_number": "719-400-8091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 W Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "CO",
            "postal_code": "808631009",
            "country_code": "US",
            "telephone_number": "719-400-8091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATE WELLNESS AND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "KNOTT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MCCALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-400-8091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.