NPIMap

Organization Active NPI

Elevate Colorado LLC

Doing business as Synapse Physical Therapy

  • Physical Therapy Clinic/Center
  • Westminster, CO
National Provider Identifier
1407287717
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTL.0005694 Issued in CO
Legal business name
ELEVATE COLORADO LLC
Doing business as
Synapse Physical Therapy
Practice address
10710 Westminster Blvd Unit 120
Westminster, CO 80020-4182
Phone
(303) 593-0696
Fax
(303) 410-0100
NPI assigned
Dec 12, 2013
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Michael James KeatingNPI 1841329406
Title
Director of Operations
Phone
(303) 593-0696

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 Therapy Clinic/Center 261QP2000X PTL.0005694 CO Primary

Addresses

Primary practice location

10710 Westminster Blvd Unit 120
Westminster, CO 80020-4182

Mailing address

10710 Westminster Blvd Unit 120
Westminster, CO 80020-4182
Phone (303) 593-0696

Other names 1

  • Synapse Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140507001022 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284867714 Receives reassigned benefits from 7 practitioners
Practice locations: Superior, CO; Westminster, CO

National Provider Directory

National Provider Directory

Locations

1 Superior Dr
Ste 8
Superior, CO 80027

100 McCaslin Blvd
Unit 107
Superior, CO 80027
Phone (720) 388-8380

10710 Westminster Blvd
Westminster, CO 80020
Phone (303) 593-0696

10710 Westminster Blvd
Unit 120
Westminster, CO 80020
Phone (303) 593-0696

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1407287717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 WESTMINSTER BLVD UNIT 120",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800204182",
            "telephone_number": "303-593-0696",
            "fax_number": "720-920-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 WESTMINSTER BLVD UNIT 120",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800204182",
            "telephone_number": "303-593-0696",
            "fax_number": "303-410-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "303-593-0696"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "PTL.0005694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synapse Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synapse Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.