Elevate Physical Therapy & Pain Center INC
Physical Therapist in Brevard, NC. Organization (NPI-2).
NPI number1336492297
StatusActive
Last updated in NPPESSep 30, 2020
Details
- NPI
- 1336492297
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Physical Therapy & Pain Center INC
- Organization subpart
- No
- Enumeration date
- Oct 16, 2012
- Certification date
- Sep 30, 2020
- Last updated
- Sep 30, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 7217 | NC | Yes |
| 225100000X | Physical Therapist | 8721 | NC |
Practice location
4 Market StSuite 4103
Brevard, NC 28712-5635
Phone 828-877-2110
Mailing address
4 Market St Ste 4103Brevard, NC 28712-5636
Phone 828-342-7358
Authorized official
Mark Herbert Blakely
Owner/Physical Therapist
8283427358
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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