Organization
ELEVATE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSIAH DAVID PARKER PT, DPT (OWNER)
(402) 202-4738
Entity
Organization
Contact information
Practice address
4463 S 110TH ST, OMAHA, NE 68137-1216
(402) 427-3169
Mailing address
4463 S 110TH ST, OMAHA, NE 68137-1216
(402) 427-3169
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386057289
JOSIAH NPI NUMBER
—
01
—
1598071078
JULIE'S NPI NUMBER
—
Enumeration date
12/06/2019
Last updated
03/27/2021
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