Elevate 360 Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELEVATE 360 PHYSICAL THERAPY LLC

Practice address

2335 N Belt Hwy Ste a
Saint Joseph, MO 64506-2269

Phone

(816) 689-0328

Fax

(816) 841-4320

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Abby Bodenhausen, DPTNPI 1881866069

Title

Physical Therapist

Phone

(913) 638-7438

Specialties & licenses 1

Addresses

Practitioners 1

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

• Abby Bodenhausen, DPT

  • Physical Therapist
  • Overland Park, KS
  • NPI 1881866069
  NPD Authorized official

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1346019247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 N BELT HWY STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062269",
            "telephone_number": "816-689-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 N BELT HWY STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062269",
            "telephone_number": "816-689-0328",
            "fax_number": "816-841-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13899 County Road 307",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645059376",
            "country_code": "US",
            "telephone_number": "913-638-7438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATE 360 PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "BODENHAUSEN",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "913-638-7438",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John B Eiman, CRNA
• Shelby Elise Ek, PHARM.D.
• Elaine Greer Rnnpc Women'S Health
• Keelyn Elder
• Electrodiagnostic & Rehab Medicine
• Marlene D. Elliott
• Elmore Family Dentistry
• Benjamin Elmore, DMD
• Shannon Alan Engel, DPM
• Erica Engelhaupt

• Physical Therapy Clinic/Center in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.