NPIMap

Organization Active NPI

Elevation Physical Therapy

  • Physical Therapist
  • Farmington, ME
National Provider Identifier
1962011387
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELEVATION PHYSICAL THERAPY
Practice address
128 Middle St
Farmington, ME 04938-6937
Phone
(801) 540-2840
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Kathryn Longhurst
Title
Vice President
Phone
(801) 540-2840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

128 Middle St
Farmington, ME 04938-6937

Mailing address

348 Walker Hill Rd
Wilton, ME 04294-4619
Phone (801) 540-2840

Other identifiers 1

IdentifierTypeStateIssuer
1255763439OtherNPI

Other names 1

  • Allied Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.alliedptmaine.com/contact-us/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210129000278 ME Part B Supplier - Clinic/Group Practice 5597179762 Receives reassigned benefits from 3 practitioners
Practice locations: Farmington, ME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1962011387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 WALKER HILL RD",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "042944619",
            "telephone_number": "801-540-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MIDDLE ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386937",
            "telephone_number": "801-540-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "LONGHURST",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "801-540-2840"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255763439",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.alliedptmaine.com/contact-us/",
            "affiliation": "N",
            "address_1": "128 Middle St",
            "city": "Farmington",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049386937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allied Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.