Elevate Physical Therapy & Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELEVATE PHYSICAL THERAPY & PERFORMANCE

Practice address

180 S Brady St
Blairsville, PA 15717-1147

Phone

(724) 516-6147

NPI assigned

Sep 10, 2019

Last updated

Sep 10, 2019By 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

Corey Henderson

Title

Owner

Phone

(724) 427-5530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1871142968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S BRADY ST",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171147",
            "telephone_number": "724-516-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S BRADY ST",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171147",
            "telephone_number": "724-516-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSICAL THERAPY & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-427-5530"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DMG-East Market, LLLC
• Dunlap Family Eye Care LLC
• East Market Family Dental, PLLC
• Luke Egan, MD
• Ehpp Chestnut Ridge LLC (Excela Chestnut Ridge Blairsville)
• Excela Health Physician Practices, Inc. (Blairsville Family Medicine)
• Maureen Fagan
• Lucinda A. Fails, CRNP, MSN
• Arthur G Fatino, ATC
• Firetree, LTD. (Conewago Indiana)

• Physical Therapy Clinic/Center in Blairsville, PA
• Providers in Blairsville, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.