Organization Active NPI

Elevate Wellness, PLLC

  • Physical Therapy Clinic/Center
  • Kalispell, MT
National Provider Identifier
1558064220
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELEVATE WELLNESS, PLLC
Practice address
1667 Whitefish Stage Ste 200
Kalispell, MT 59901-2173
Phone
(406) 253-2328
Fax
(406) 794-0469
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Tyler Reese Corwin, DPTNPI 1972941490
Title
Manager/Physical Therapist
Phone
(406) 253-2328

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

1667 Whitefish Stage Ste 200
Kalispell, MT 59901-2173

Mailing address

PO Box 5574
Whitefish, MT 59937-5574
Phone (406) 253-8924

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230801000007 MT Part B Supplier - Clinic/Group Practice 3678934163 Receives reassigned benefits from 1 practitioner
Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory

Locations

121 Wisconsin Ave
Whitefish, MT 59937
Phone (406) 253-2328

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1558064220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5574",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599375574",
            "telephone_number": "406-253-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 WHITEFISH STAGE STE 200",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012173",
            "telephone_number": "406-253-2328",
            "fax_number": "406-794-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "CORWIN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "REESE",
        "authorized_official_title_or_position": "MANAGER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "406-253-2328",
        "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 Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.