MEDICARE: ELEVATE WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1942896543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE WELLNESS, LLC

Provider Business Mailing Address
First Line	:	2105 W J ST
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-3062
Country	:	US
Telephone Number	:	308-777-2476
Fax Number	:

Provider Business Practice Location Address
First Line	:	2105 W J ST
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-3062
Country	:	US
Telephone Number	:	308-777-2476
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	EMILY D. YOUNG
Credential	:	PT, DPT, CLC
Telephone Number	:	402-806-0557

Provider Enumeration Date	:	12/17/2020
Last Update Date	:	06/03/2026

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Directions to “ELEVATE WELLNESS, LLC ” Practice Location

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