# ELEVATION REHAB, LLC

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

## Provider details

- **NPI number:** 1578144747
- **Authorized official:** BRADLEY BRADY (VICE PRESIDENT)
- **Authorized official phone:** (919) 596-9464

## Contact information

- **Practice address:** 3420 WAKE FOREST HWY, DURHAM, NC 27703-3522
- **Practice address phone:** (919) 823-1606
- **Mailing address:** 3420 WAKE FOREST HWY, DURHAM, NC 27703-3522
- **Mailing address phone:** (919) 823-1606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |

## Other

- **Enumeration date:** 04/19/2021
- **Last updated:** 02/22/2024