# ELEVATE PHYSICAL THERAPY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1932834223
- **Authorized official:** ASHLEY CLARK DPT (FOUNDER, PHYSICAL THERAPIST)
- **Authorized official phone:** (913) 660-3682

## Contact information

- **Practice address:** 15304 OLD LAKE LN, EDMOND, OK 73013-3339
- **Practice address phone:** (405) 240-9767
- **Mailing address:** 15304 OLD LAKE LN, EDMOND, OK 73013-3339
- **Mailing address phone:** (913) 660-3682

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2022
- **Last updated:** 07/20/2022