Active NPI
Elevate Physical Therapy LLC
- Physical Therapist
- Alpharetta, GA
National Provider Identifier
1760109219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ELEVATE PHYSICAL THERAPY LLC
- Practice address
- 3570 Old Milton Pkwy
Alpharetta, GA 30005-4464 - Phone
- (678) 208-7787
- NPI assigned
- Oct 25, 2022
- 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
- Pamela Bentley, PT, DPT
- Title
- Physical Therapist
- Phone
- (770) 596-3216
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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
3570 Old Milton Pkwy
Alpharetta, GA 30005-4464
Mailing address
1050 Gunter CT
Alpharetta, GA 30022-3508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3570 Old Milton Pkwy
Alpharetta, GA 30005
Phone (678) 879-9019
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
- Alpharetta, GA
- NPI 1851767701
-
- Sports Physician Chiropractor
- Alpharetta, GA
- NPI 1255954103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666656000000",
"number": "1760109219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 GUNTER CT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300223508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 OLD MILTON PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054464",
"telephone_number": "678-208-7787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A",
"authorized_official_last_name": "BENTLEY",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "770-596-3216",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.