# ELEVATE PHYSIOTHERAPY, LLC

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

## Provider details

- **NPI number:** 1437712965
- **Authorized official:** TIFFANY SUDOL BAKER PT, DPT, CFMT, CPT (CEO)
- **Authorized official phone:** (917) 744-6457

## Contact information

- **Practice address:** 62 SOUTHFIELD AVE, STAMFORD, CT 06902-7229
- **Practice address phone:** (917) 744-6457
- **Mailing address:** 150 SOUTHFIELD AVE APT 2437, STAMFORD, CT 06902-7771
- **Mailing address phone:** (917) 744-6457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2019
- **Last updated:** 04/19/2019