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Active NPI 1457012403 Organization (Entity Type 2)

Elevate Performance Llc

Physical Therapist - Orthopedic • Salado, TX

About Elevate Performance Llc NPI 1457012403 Summary

Elevate Performance Llc is a verified healthcare organization specializing in Physical Therapist - Orthopedic operating in Salado, TX. Located at 1008 YELLOW ROSE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1457012403.

Administrative operations and authorized compliance are overseen by Reginald Van Velzen (Owner).

Facility Location & Contact Primary Location

Facility Address

1008 Yellow Rose

Salado, TX 765715806

Telephone 2547689201

Authorized Official Information

Authorized Contact Name

Reginald Van Velzen , DPT

Title / Role

Owner

Official Telephone

2547689201

Facility Classifications & Specialties

Physical Therapist - Orthopedic Primary Taxonomy

NUCC Taxonomy Code: 2251X0800X

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active January 03, 2022

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2022

Registered at 1008 YELLOW ROSE, SALADO, TX 765715806 (Tel: 2547689201)

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Updated Business Mailing Address January 03, 2022

Registered at 1008 YELLOW ROSE, SALADO, TX 765715806 (Tel: 2547689201)

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Organization / Clinic Name Updated January 03, 2022

Operating as ELEVATE PERFORMANCE LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Physical Therapist

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Initial NPI Registration & Enumeration January 03, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1457012403
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 03, 2022
Last Update: January 03, 2022

Mailing Address

1008 Yellow Rose

Salado, TX 765715806

Phone: 2547689201

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.