# ELEVATE PHYSICAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346862018
- **Authorized official:** MATTHEW WINK (OWNER)
- **Authorized official phone:** (864) 607-4327

## Contact information

- **Practice address:** 700 SQUIRES PT STE B, DUNCAN, SC 29334-8879
- **Practice address phone:** (864) 607-4327
- **Practice address fax:** (864) 752-1653
- **Mailing address:** 700 SQUIRES PT STE B, DUNCAN, SC 29334-8879
- **Mailing address phone:** (864) 607-4327
- **Mailing address fax:** (864) 752-1653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/15/2020
- **Last updated:** 05/15/2020