Elevate Physical Therapy LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

ELEVATE PHYSICAL THERAPY LLC

Practice address

6589 Laketowne PL
Albertville, MN 55301-6500

Phone

(763) 220-1962

NPI assigned

Jan 6, 2025

Organization subpart

No

Name

Beth A Pesta, DPTNPI 1659526903

Title

Physical Therapist

Phone

(320) 491-5199

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

• Beth Ann Pesta, PT

  • Orthopedic Physical Therapist
  • Maple Grove, MN
  • NPI 1659526903

  MN

  Medicare reassignment Authorized official

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2025.

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1497564181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 MARTIN FARMS AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553304815",
            "telephone_number": "320-491-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6589 LAKETOWNE PL",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553016500",
            "telephone_number": "763-220-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "PESTA",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "320-491-5199",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quynh Nhu Dao
• Shelby Lynn Deitchler, DNP
• Alyssa Deutschmann, BCBA, LSW
• Keith Henry Diers, PT. DPT. ATC
• E-Mai Dunbar
• Rachel Ellingson
• Taylor Enger, PHARMD
• Donna Jo Erickson
• Evans Park, Inc
• Rachel Evavold

• All providers in Albertville, MN
• Orthopedic Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.