MEDICARE: ELEVATE PHYSICAL THERAPY INC.

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	225100000X	Physical Therapist	070012593	IL

General Provider Information

NPI Number	:	1477752301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE PHYSICAL THERAPY INC.

Provider Business Mailing Address
First Line	:	1429 N CHICAGO AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4434
Country	:	US
Telephone Number	:	847-323-1156
Fax Number	:

Provider Business Practice Location Address
First Line	:	147 W RAND RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3142
Country	:	US
Telephone Number	:	847-749-4509
Fax Number	:	847-749-4389

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAIME GINSBERG
Credential	:	DPT
Telephone Number	:	847-323-1156

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	12/10/2020

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