Organization Active NPI

Uplift Pelvic Health, LLC

  • Physical Therapy Clinic/Center
  • Jasper, GA
National Provider Identifier
1760212229
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UPLIFT PELVIC HEALTH, LLC
Practice address
12 Sammy McGhee Blvd Ste 204
Jasper, GA 30143-7712
Phone
(762) 332-8405
NPI assigned
Aug 7, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Dr. Catherine Garwacki, DPT, OCSNPI 1336372507
Title
Owner/Founder
Phone
(218) 779-6339

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 NU Primary

Addresses

Primary practice location

12 Sammy McGhee Blvd Ste 204
Jasper, GA 30143-7712

Mailing address

12 Sammy McGhee Blvd Ste 204
Jasper, GA 30143-7712
Phone (218) 779-6339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209002992 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678009065 Receives reassigned benefits from 1 practitioner
Practice locations: Jasper, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1760212229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SAMMY MCGHEE BLVD STE 204",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437712",
            "telephone_number": "218-779-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SAMMY MCGHEE BLVD STE 204",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437712",
            "telephone_number": "762-332-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT PELVIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "GARWACKI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "218-779-6339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.