KEYSTONE PHYSICAL MEDICINE – NPI #1770963274
Physical Medicine & Rehabilitation

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.

KEYSTONE PHYSICAL MEDICINE is a provider located in BOISE, ID. NPPES has assigned the NPI number 1770963274 to KEYSTONE PHYSICAL MEDICINE on June 01, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KEYSTONE PHYSICAL MEDICINE” is a dba name, the actual legal business name for this organization is ELEVATE HEALTH GROUP PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 11 years ago on Oct 19, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEYSTONE PHYSICAL MEDICINE below.

NPI Profile for
ELEVATE HEALTH GROUP PLLC

NPI Number
1770963274
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELEVATE HEALTH GROUP PLLC
Doing Business As (dba): KEYSTONE PHYSICAL MEDICINE
Primary location
420 W MAIN ST
#206
BOISE, ID 83702-7284
Phone: (208) 426-9200 Fax:
Mailing address
PO BOX 2193
BOISE, ID 83701-2193
Phone: Fax:
Organization Subpart
No
Authorized Official
CORY SARTIN
CLINIC DIRECTOR
Phone: (208) 426-9200
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
ID NP-1093A
208VP0000X
- Pain Medicine / Pain Medicine
ID NP-1093A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.