Elevate: Performance Health Wellness

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ELEVATE: PERFORMANCE HEALTH WELLNESS

Doing business as

Elevate PHW

Practice address

3901 Singer Blvd NE
Suite B
Albuquerque, NM 87109-5862

Phone

(505) 341-3411

NPI assigned

Feb 4, 2015

Last updated

Feb 4, 2015By 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

Mr. Jay M English

Title

Managing Partner

Phone

(505) 341-3411

Specialties & licenses 1

Addresses

Other names 1

• Elevate PHW Doing business as

Locations

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1497145940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 SINGER BLVD NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095862",
            "telephone_number": "505-341-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 SINGER BLVD NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095862",
            "telephone_number": "505-341-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE: PERFORMANCE HEALTH WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "505-341-3411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate PHW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.