Provider Demographics
NPI:1003702416
Name:ELEVATE WELLNESS AND PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:ELEVATE WELLNESS AND PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEIBERS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:513-975-1012
Mailing Address - Street 1:9402 TOWNE SQUARE AVE STE E
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6909
Mailing Address - Country:US
Mailing Address - Phone:513-975-1012
Mailing Address - Fax:513-572-9402
Practice Address - Street 1:9402 TOWNE SQUARE AVE STE E
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-6909
Practice Address - Country:US
Practice Address - Phone:513-975-1012
Practice Address - Fax:513-572-9402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty