Active NPI
Elevate Wellness, PLLC
- Physical Therapy Clinic/Center
- Kalispell, MT
National Provider Identifier
1558064220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Reese Corwin, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Kalispell, MT
- NPI 1972941490
-
- Family Nurse Practitioner
- Kalispell, MT
- NPI 1770281297
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.