ELEVATE HEALTH GROUP PLLC NPI 1770963274

NPI Information

  • NPI: 1770963274
  • Provider Name: ELEVATE HEALTH GROUP PLLC
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Doing Business As: KEYSTONE PHYSICAL MEDICINE
  • CLIA Number: 13D2304479
  • Address: 420 W MAIN ST
    #206
    BOISE, ID
    ZIP 83702
  • Phone: (208) 426-9200

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NPI Details

ELEVATE HEALTH GROUP PLLC is a pain medicine physical medicine rehabilitation in Boise, ID. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. ELEVATE HEALTH GROUP PLLC NPI is 1770963274. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Keystone Physical Medicine.

The provider's business location address is:

420 W MAIN ST
#206
BOISE, ID
ZIP 83702-284
Phone: (208) 426-9200

The provider's authorized official is Cory M Sartin .
The authorized official title is Clinic Director and has the following contact phone number (208) 426-9200.

The CLIA number assigned to this NPI record is 13D2304479 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 10/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain MedicineNP-1093AIDAHONo
22081P2900XPhysical Medicine & RehabilitationPain MedicineNP-1093AIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120007639MEDICARE UPINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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