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Deactivated NPI 1225625296 Deactivated / Inactive NPI

Elevation Pt, Llc

Clinic/Center - Physical Therapy • Claxton, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Elevation Pt, Llc has officially deactivated this NPI record and ceased active healthcare operations.

Registration / Start Date December 24, 2020
NPI Deactivation Date February 23, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

About Elevation Pt, Llc NPI 1225625296 Summary

Elevation Pt, Llc was a registered healthcare organization specializing in Clinic/Center - Physical Therapy located in Claxton, GA. Operating from its primary practice location at 101 DANIEL ST, the facility provided medical services under NPI record 1225625296 prior to official deactivation on February 23, 2024.

Administrative records indicate Jennifer Ivester as the registered authorized official.

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

101 Daniel St

Claxton, GA 304171615

Telephone 9123345073
Fax 9123345074

Authorized Official Information

Authorized Contact Name

Jennifer Ivester

Official Telephone

9122787423

Facility Classifications & Specialties

Clinic/Center - Physical Therapy Primary Taxonomy

NUCC Taxonomy Code: 261QP2000X

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked
Dr. Ryan Piche , OD NPI 1437642543

Optometrist

Claxton, GA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
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NPI Profile Deactivated February 23, 2024

Record deactivated on February 23, 2024

NPI Profile Active December 24, 2020

NPI status registered as active in NPPES database

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Updated Practice Location December 24, 2020

Registered at 101 DANIEL ST, CLAXTON, GA 304171615 (Tel: 9123345073)

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Updated Business Mailing Address December 24, 2020

Registered at 101 DANIEL ST, CLAXTON, GA 304171615 (Tel: 9123345073)

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Organization / Clinic Name Updated December 24, 2020

Operating as ELEVATION PT, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 24, 2020

Clinic/Center

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Initial NPI Registration & Enumeration December 24, 2020

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1225625296
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 24, 2020
Last Update: December 24, 2020
Deactivation Date: February 23, 2024

Mailing Address

101 Daniel St

Claxton, GA 304171615

Phone: 9123345073

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.