Provider Demographics
NPI:1407287717
Name:ELEVATE COLORADO LLC
Entity Type:Organization
Organization Name:ELEVATE COLORADO LLC
Other - Org Name:SYNAPSE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KEATING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-593-0696
Mailing Address - Street 1:10710 WESTMINSTER BLVD UNIT 120
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80020-4182
Mailing Address - Country:US
Mailing Address - Phone:303-593-0696
Mailing Address - Fax:720-920-9430
Practice Address - Street 1:10710 WESTMINSTER BLVD UNIT 120
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80020-4182
Practice Address - Country:US
Practice Address - Phone:303-593-0696
Practice Address - Fax:303-410-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0005694261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy