Elevate Rehab, Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Lander, Wyoming. Their current practice location is
535 E Main St Ste D, Lander, Wyoming. You can reach out to their office (for appointments etc.) via phone at
(307) 335-3471.
Elevate Rehab, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Elevate Rehab, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003257601.
Healthcare Provider's Profile
| Full Name | Elevate Rehab, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 535 E Main St Ste D, Lander, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003257601
- Provider Enumeration Date: 07/11/2013
- Last Update Date: 12/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981838687
- Enrollment ID: O20131014000145
Medical Identifiers
Medical identifiers for Elevate Rehab, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003257601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | OTR-814 (Wyoming) | Secondary |
| 225XE1200X | Occupational Therapist - Ergonomics | OTR-814 (Wyoming) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | OTR-814 (Wyoming) | Secondary |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | OTR-814 (Wyoming) | Secondary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | OTR-814 (Wyoming) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | OTR-814 (Wyoming) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Elevate Rehab, Llc acts as a billing entity for following providers:
| Provider Name | Courtney L Hansen |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1003838640
PECOS PAC ID: 2668408162
Enrollment ID: I20050715000759 |
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| Provider Name | Michelle L Mazur |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1114061611
PECOS PAC ID: 7315976081
Enrollment ID: I20090904000168 |
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| Provider Name | Ryan M Flatt |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1689015448
PECOS PAC ID: 7214171602
Enrollment ID: I20130925000662 |
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| Provider Name | Katelin R Tucker |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1568726081
PECOS PAC ID: 7315197746
Enrollment ID: I20171030003340 |
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| Provider Name | Stephen Elmer |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1588226518
PECOS PAC ID: 9234469214
Enrollment ID: I20190918002462 |
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| Provider Name | Erin L Smiley |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1538485008
PECOS PAC ID: 7719148139
Enrollment ID: I20210812002561 |
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| Provider Name | Martha M Watt |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1346600509
PECOS PAC ID: 5395035844
Enrollment ID: I20211230001158 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elevate Rehab, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Elevate Rehab, Llc
535 E Main St Ste D,
Lander, WY 82520-3424
Ph: (307) 335-3471 | Elevate Rehab, Llc
535 E Main St Ste D,
Lander, WY 82520-3424
Ph: (307) 335-3471 |
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