Healthcare Provider Details

I. General information

NPI: 1851226773
Provider Name (Legal Business Name): ELEVATE MOBILE REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 N MAIN ST STE 202
ROSWELL NM
88201-4724
US

IV. Provider business mailing address

407 VIALE BOND
ROSWELL NM
88201-5851
US

V. Phone/Fax

Practice location:
  • Phone: 575-322-9797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: TRIXY CLAIRE PASTORFIDE
Title or Position: BILLING AND COMPLIANCE OFFICER
Credential:
Phone: 575-420-1331