Elevate Physical Therapy and Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELEVATE PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

2136 Gallows Rd Ste a
Dunn Loring, VA 22027-1036

Phone

(703) 216-5985

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By 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

Kristen Magee, PT, MSPTNPI 1063569333

Title

Owner

Phone

(703) 216-5985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

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.

• Kristen W Magee, MSPT

  • Physical Therapist
  • Dunn Loring, VA
  • NPI 1063569333

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1780344721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 BENT OAK CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433906",
            "telephone_number": "703-216-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 GALLOWS RD STE A",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271036",
            "telephone_number": "703-216-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-216-5985",
        "authorized_official_credential": "PT, MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Yvette Dade, COTA/L
• Robert A Duca Jr., D.C.
• Dunn Loring VA Opco LLC (Iliff Nursing and Rehabilitation Center)
• Skeeter Early, COTA/L
• Mahmud R. Elbackush, MD
• Nazila Ganji, D.D.S.
• Kristin Nicole Garman, BSN, RN
• Genesis Rehab
• Genesis Rehabilitation
• Monamie Ghatak, D.D.S

• Physical Therapist in Dunn Loring, VA
• Providers in Dunn Loring, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.