Elevate Pediatric Therapies PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1823 Issued in OK

Legal business name

ELEVATE PEDIATRIC THERAPIES PC

Practice address

1110 W Will Rogers Blvd
Claremore, OK 74017-5421

Phone

(918) 342-3800

Fax

(918) 342-3900

NPI assigned

Sep 22, 2006

Last updated

Apr 26, 2022By 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

Maria L Rylee

Title

Billing Specialist

Phone

(918) 341-4343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1619076684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W WILL ROGERS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175421",
            "telephone_number": "918-341-4343",
            "fax_number": "918-341-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W WILL ROGERS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175421",
            "telephone_number": "918-342-3800",
            "fax_number": "918-342-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PEDIATRIC THERAPIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "RYLEE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "918-341-4343"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "1823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Edmonds
• Casey Lane Edwards
• Heather Kay Edwards, M.S. CFY-SLP
• Kaitlyn Alexzandria Edwards
• Gertrude P Eggers, RN
• Elevate Pediatric Therapies PC
• Elizabeth Ann Goodman, D.C., L.L.C.
• Carli Marie Ellis, RN
• Courtney Ellis, RN
• Jenna Marie Ellis

• Physical Therapist in Claremore, OK
• Providers in Claremore, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.