MEDICARE: ELEVATE PHYSICAL THERAPY AND FITNESS, 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1376006619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE PHYSICAL THERAPY AND FITNESS, LLC

Provider Business Mailing Address
First Line	:	7607 NORTH AVE FRNT
Second Line	:
City	:	RIVER FOREST
State	:	IL
Zip	:	60305-1105
Country	:	US
Telephone Number	:	847-447-3098
Fax Number	:	312-312-9631

Provider Business Practice Location Address
First Line	:	7607 NORTH AVE
Second Line	:
City	:	RIVER FOREST
State	:	IL
Zip	:	60305-1105
Country	:	US
Telephone Number	:	847-447-3098
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SEAN MCINERNEY
Credential	:
Telephone Number	:	630-308-1313

Provider Enumeration Date	:	04/12/2019
Last Update Date	:	01/21/2026

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