Elevation Physical Therapy and Sports and Rehabilitation, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1007638532 Issued in NV

Legal business name

ELEVATION PHYSICAL THERAPY AND SPORTS AND REHABILITATION, LLC

Practice address

10245 S Maryland Pkwy 153
Las Vegas, NV 89183

Phone

(702) 768-8050

Fax

(702) 731-2565

NPI assigned

Aug 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Dudley Russell, DPT

Title

Manager

Phone

(702) 768-8050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1932356870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 S MARYLAND PKWY UNIT 153",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834041",
            "telephone_number": "702-768-8050",
            "fax_number": "702-731-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 S MARYLAND PKWY 153",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89183",
            "telephone_number": "702-768-8050",
            "fax_number": "702-731-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION PHYSICAL THERAPY AND SPORTS AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DUDLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-768-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "1007638532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevated Homecare LLC
• Elevated LV Medical Groups Inc
• Elevating Care LLC
• Elevating to New Heights LLC
• Elevation DME Supply
• Elevations Adult Day Services LLC.
• Elevations Behavioral Health LLC
• Aurora Elezi
• Benjamin Paul Elgan, DO
• Emily I Elgin

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.