Elevated Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELEVATED PHYSICAL THERAPY

Practice address

188 S de Lacey Ave
Pasadena, CA 91105-2053

Phone

(626) 360-2717

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Madison Mackenzie Burke, PT, DPTNPI 1881043537

Title

Ceo

Phone

(626) 360-2717

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Mackenzie Burke, DPT

  • Physical Therapist
  • Pasadena, CA
  • NPI 1881043537
  NPD Authorized official

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1881468817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 S DE LACEY AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052053",
            "telephone_number": "626-360-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 S DE LACEY AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052053",
            "telephone_number": "626-360-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "MACKENZIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-360-2717",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed El-Gabalawy, MD
• Alia Elasmar
• Joy Eldeiry, M.A.
• Patricia Maxine Elder
• Eleanor Leung M.D. a Professional Corporation
• Miriam Elewy, L.AC.
• Matthew Elgart, PH.D
• Mazin Elhadary, MD
• Bernard R Elhaj, PHARMD
• Eli Ezra Hospice Inc

• Physical Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.