Organization Active NPI

Elevate Pediatric Therapy, LLC

  • Occupational Therapist
  • Parker, CO
National Provider Identifier
1720809601
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ELEVATE PEDIATRIC THERAPY, LLC
Practice address
9407 Twenty Mile Rd. Unit 107
Parker, CO 80134
Phone
(870) 919-3431
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Alexa ThompsonNPI 1184181711
Title
Owner
Phone
(870) 919-3431

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

9407 Twenty Mile Rd. Unit 107
Parker, CO 80134

Mailing address

17011 Lincoln Ave Ste 338
Parker, CO 80134-3144

National Provider Directory

National Provider Directory
Tax ID family
Elevate Pediatric Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17011 Lincoln Ave
Parker, CO 80134
Phone (720) 585-4248

Practitioners & affiliated clinicians

Practitioners 1

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": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1720809601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 LINCOLN AVE STE 338",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9407 TWENTY MILE RD. UNIT 107",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "870-919-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-11-05",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-919-3431"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.