Elevate Physical Therapy and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

603176468 Issued in WA

Legal business name

ELEVATE PHYSICAL THERAPY AND WELLNESS

Practice address

23880 NE 8TH St
Sammamish, WA 98074-3604

Phone

(425) 458-2046

Fax

(425) 458-2047

NPI assigned

May 12, 2012

Last updated

May 12, 2012By 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

Karol A Wilson, PT, DPT

Title

Physical Therapist, Owner

Phone

(425) 458-2046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336780800000",
    "number": "1407115330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23860 NE 8TH ST",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980743604",
            "telephone_number": "425-458-2046",
            "fax_number": "425-458-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23880 NE 8TH ST",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980743604",
            "telephone_number": "425-458-2046",
            "fax_number": "425-458-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-12",
        "last_updated": "2012-05-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "425-458-2046",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "603176468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela F. Duesing, O.D.
• Sarah Dunbar
• Genna Durante, PHD
• Meagan Ann Dwyer, ARNP
• Dynacare Northwest, Inc
• Omnia Elsherbiny
• Sarah Michelle Emswiler Tanner, O.D.
• Laurie Marie Engelbeck, PH.D,, NCSP
• Ronald Dean Enyeart, P.T.
• Essence Health and Research Foundation (Essence Health & Research (EH&R))

• Physical Therapy Clinic/Center in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2012; 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.