Active NPI
Elevation Rehab, LLC
- Clinic/Center
- Jacksonville, FL
National Provider Identifier
1487246088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ELEVATION REHAB, LLC
- Practice address
- 13836 Cyrus CT
Jacksonville, FL 32224-7226 - Phone
- (908) 436-7517
- NPI assigned
- Feb 5, 2021
- Last updated
- Feb 5, 2021
- 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
- Christine Maximos, OTR/L
- Title
- Occupational Therapist
- Phone
- (908) 436-7517
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
13836 Cyrus CT
Jacksonville, FL 32224-7226
Mailing address
13836 Cyrus CT
Jacksonville, FL 32224-7226
Phone (908) 436-7517
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Occupational Therapist
- Jacksonville, FL
- NPI 1811451073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612483200000",
"number": "1487246088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13836 CYRUS CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322247226",
"telephone_number": "908-436-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13836 CYRUS CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322247226",
"telephone_number": "908-436-7517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATION REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A",
"authorized_official_last_name": "MAXIMOS",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "908-436-7517",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.