NPIMap

Organization Active NPI

Champion Sports Medicine and Physical Therapy, LLC

Doing business as Elevate Physical Therapy and Coaching, LLC

  • Physical Therapy Clinic/Center
  • Lakewood, CO
National Provider Identifier
1912955790
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
7018 Issued in CO
Legal business name
CHAMPION SPORTS MEDICINE AND PHYSICAL THERAPY, LLC
Doing business as
Elevate Physical Therapy and Coaching, LLC
Practice address
1169 S Alkire St
Lakewood, CO 80228-3113
Phone
(720) 295-6098
NPI assigned
May 4, 2006
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Stuart Anthony Wilson, PTNPI 1710935085
Title
Owner
Phone
(720) 295-6098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 7018 CO Primary

Addresses

Primary practice location

1169 S Alkire St
Lakewood, CO 80228-3113

Mailing address

1169 S Alkire St
Lakewood, CO 80228-3113
Phone (720) 295-6098

Other practice location 1

9948 W Dorado Pl
Littleton, CO 80123-2317
Phone (303) 520-2599

Other names 1

  • Elevate Physical Therapy and Coaching, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2401 15th St
Ste 180
Denver, CO 80202
Phone (303) 455-0366

1169 S Alkire St
Lakewood, CO 80228
Phone (720) 295-6098

Practitioners & affiliated clinicians

Practitioners 2

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1912955790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 S ALKIRE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283113",
            "telephone_number": "720-295-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 S ALKIRE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283113",
            "telephone_number": "720-295-6098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9948 W Dorado Pl",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801232317",
            "country_code": "US",
            "telephone_number": "303-520-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHAMPION SPORTS MEDICINE AND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-295-6098",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "7018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Physical Therapy and Coaching, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.