Organization Active NPI

Elsa Gould Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Evanston, IL
National Provider Identifier
1568031490
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELSA GOULD PHYSICAL THERAPY PLLC
Practice address
2934 Central St Ste 2C
Evanston, IL 60201-5201
Phone
(847) 440-5932
NPI assigned
Jun 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Elsa M Gould, DPTNPI 1598088833
Title
Physical Therapist
Phone
(847) 440-5932

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

2934 Central St Ste 2C
Evanston, IL 60201-5201

Mailing address

2934 Central St Ste 2C
Evanston, IL 60201-5201
Phone (847) 440-5932

Other names 1

  • Collective Motion Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020002014 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365898772 Receives reassigned benefits from 3 practitioners
Practice locations: Evanston, IL

National Provider Directory

National Provider Directory

Locations

2609 Broadway Ave
Evanston, IL 60201
Phone (847) 440-5932

Practitioners & affiliated clinicians

Practitioners 3

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": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1568031490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 CENTRAL ST STE 2C",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015201",
            "telephone_number": "847-440-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 CENTRAL ST STE 2C",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015201",
            "telephone_number": "847-440-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSA GOULD PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "847-440-5932",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collective Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.