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

Last updated

Feb 26, 2025By 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

Beth A Pesta, DPTNPI 1659526903

Title

Physical Therapist

Phone

(320) 491-5199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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.

• Beth Ann Pesta, PT

  • Orthopedic Physical Therapist
  • Maple Grove, MN
  • NPI 1659526903
  Medicare reassignment Authorized official

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

{
    "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 (Engel Haus)
• Rachel Evavold

• Orthopedic Physical Therapist in Albertville, MN
• Providers in Albertville, MN by specialty
• 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.