Organization Active NPI

Elevate Physical Therapy

  • Physical Therapy Clinic/Center
  • Decatur, AL
National Provider Identifier
1518646298
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELEVATE PHYSICAL THERAPY
Practice address
46 Pleasant Acres Rd
Decatur, AL 35603-5745
Phone
(251) 944-7364
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Justin Byrd, DPTNPI 1578011441
Title
Owner/Physical Therapist
Phone
(251) 944-7364

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

46 Pleasant Acres Rd
Decatur, AL 35603-5745

Mailing address

46 Pleasant Acres Rd
Decatur, AL 35603-5745
Phone (256) 580-5051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321000820 AL Part B Supplier - Clinic/Group Practice 8022455443 Receives reassigned benefits from 2 practitioners
Practice locations: Decatur, AL

National Provider Directory

National Provider Directory

Locations

46 Pleasant Acres Rd
Decatur, AL 35603
Phone (251) 944-7364

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1518646298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PLEASANT ACRES RD",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035745",
            "telephone_number": "256-580-5051",
            "fax_number": "256-646-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PLEASANT ACRES RD",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035745",
            "telephone_number": "251-944-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "251-944-7364",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.