Provider Demographics
NPI:1255008322
Name:ELEVATE HEALTH & RECOVERY, LLC
Entity Type:Organization
Organization Name:ELEVATE HEALTH & RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:REDDING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-728-4805
Mailing Address - Street 1:2840 E 51ST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-1750
Mailing Address - Country:US
Mailing Address - Phone:918-747-4900
Mailing Address - Fax:918-747-4903
Practice Address - Street 1:2840 E 51ST ST STE 200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-1750
Practice Address - Country:US
Practice Address - Phone:918-747-4900
Practice Address - Fax:918-747-4903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service