Elevate Physical Therapy & Pain Center Inc
NPI 1336492297ActiveOrganization· Physical Therapist· Brevard, NC
Physical Therapist in Brevard, North Carolina, registered in NPPES in October 2012. The authorized official on file is Mark Herbert Blakely, DPT, OCS, Owner/Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336492297 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2012 |
| Last updated in NPPES | Sep 30, 2020 |
| Certified by provider | Sep 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 7217 | NC |
| Physical Therapist | 225100000X | 8721 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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