# ELEVATE PT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ELEVATE PHYSICAL THERAPY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730803362
- **Authorized official:** JILL M BRIGHT (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (208) 380-3886

## Contact information

- **Practice address:** 1800 GARRETT WAY STE 19, POCATELLO, ID 83201-5132
- **Practice address phone:** (208) 233-8035
- **Mailing address:** 7650 W POCATELLO CREEK RD, POCATELLO, ID 83201-9038
- **Mailing address phone:** (208) 251-2774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2022
- **Last updated:** 10/09/2023