Active NPI
Elevation Health and Performance PLLC
Doing business as Boulder Sports Chiropractic
- Sports Physician Chiropractor
- Boulder, CO
National Provider Identifier
1427411362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 0007297
- Legal business name
- ELEVATION HEALTH AND PERFORMANCE PLLC
- Doing business as
- Boulder Sports Chiropractic
- Practice address
- 3000 Center Green Dr Ste 130
Boulder, CO 80301-2364 - Phone
- (303) 444-5105
- NPI assigned
- Mar 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyx Brown, DC
- Title
- Chiropractic Physician, Member
- Phone
- (503) 522-8818
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 0007297 | CO | Primary |
Addresses
Primary practice location
3000 Center Green Dr Ste 130
Boulder, CO 80301-2364
Mailing address
3000 Center Green Dr Ste 130
Boulder, CO 80301-2364
Phone (303) 444-5105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443823YNHU | Other | CO | MEDICARE PTAN |
Other names 1
- Boulder Sports Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3101 Iris Ave
Ste 220
Boulder, CO 80301
Phone (303) 444-5105
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Boulder, CO
- NPI 1376925909
-
- Chiropractor
- Boulder, CO
- NPI 1770205049
-
- Sports Physician Chiropractor
- Boulder, CO
- NPI 1225456114
-
- Chiropractor
- New York, NY
- NPI 1023203940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1427411362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 CENTER GREEN DR STE 130",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012364",
"telephone_number": "303-444-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 CENTER GREEN DR STE 130",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012364",
"telephone_number": "303-444-5105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATION HEALTH AND PERFORMANCE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-29",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ALYX",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN, MEMBER",
"authorized_official_telephone_number": "503-522-8818",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "0007297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "443823YNHU",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Boulder Sports Chiropractic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Boulder Sports Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.