Elevate Physical Therapy and Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELEVATE PHYSICAL THERAPY AND PERFORMANCE, LLC

Practice address

3935 Dakota Dr
Grand Forks, ND 58201-3544

Phone

(701) 746-5779

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Robin Catherine Tracy, PT, ATC,SCS, CSCSNPI 1205919198

Title

Physical Therapist

Phone

(701) 746-5779

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Catherine Tracy, PT, ATC

  • Physical Therapist
  • Grand Forks, ND
  • NPI 1205919198
  NPD Authorized official

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1497216246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 DAKOTA DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013544",
            "telephone_number": "701-746-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 DAKOTA DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013544",
            "telephone_number": "701-746-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL THERAPY AND PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "701-746-5779",
        "authorized_official_credential": "PT, ATC,SCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M Eickman, PT
• Jeffrey J Eickman, MD
• Lawrence E Eickman, PT
• Amy J Elbert, PT
• Dora Lea Elbert, MS-CCC-SPEECH
• Kayla Elke
• Nathan John Ellenson, LPC
• Sarah Urvand Ellertson, MOT, OTR/L, CLT
• Caylee Ellingson, PH. D.
• Pamela Ann Elmquist, LSW

• Physical Therapy Clinic/Center in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Physical Therapy Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.