Organization Active NPI

Elevate Physio PT Nyc PC

  • Orthopedic Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1972197176
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ELEVATE PHYSIO PT NYC PC
Practice address
141 Kingsland Ave
Brooklyn, NY 11222-5102
Phone
(347) 587-9205
Fax
(212) 223-0198
NPI assigned
Feb 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Authorized official

Name
Karan Datta, PTNPI 1184168544
Title
Physical Therapist
Phone
(347) 587-9295

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

141 Kingsland Ave
Brooklyn, NY 11222-5102

Mailing address

141 Kingsland Ave
Brooklyn, NY 11222-5102
Phone (347) 587-9205

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1614384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1972197176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 KINGSLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225102",
            "telephone_number": "347-587-9205",
            "fax_number": "212-223-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 KINGSLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225102",
            "telephone_number": "347-587-9205",
            "fax_number": "212-223-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHYSIO PT NYC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A",
        "authorized_official_last_name": "DATTA",
        "authorized_official_first_name": "KARAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-587-9295",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.