Organization Active NPI

Elevation Therapy LLC

  • Speech-Language Pathologist
  • Pineville, LA
National Provider Identifier
1942083241
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ELEVATION THERAPY LLC
Practice address
510 Azalea Ave
Pineville, LA 71360-4776
Phone
(318) 623-4407
NPI assigned
Aug 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Mrs. Laurie Jean Draper, M.A., CCC-SLPNPI 1972281327
Title
Speech-Language Pathologist
Phone
(318) 623-4407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

510 Azalea Ave
Pineville, LA 71360-4776

Mailing address

510 Azalea Ave
Pineville, LA 71360-4776
Phone (318) 623-4407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717001578 LA Part B Supplier - Clinic/Group Practice 5890230502 Receives reassigned benefits from 2 practitioners
Practice locations: Pineville, LA

National Provider Directory

National Provider Directory

Locations

101 Medical Park Blvd
Ste C
Pineville, LA 71360
Phone (318) 445-9538

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1942083241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 AZALEA AVE",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604776",
            "telephone_number": "318-623-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 AZALEA AVE",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604776",
            "telephone_number": "318-623-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "318-623-4407",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.