ELEVATION MEDICAL, INC.
NPI 1639549215
General Practice in Fort Collins, CO

Active since September 25, 2015
4745 BOARDWALK DR UNIT C1, FORT COLLINS, CO 80525(970) 207-4066(970) 225-1392 Get Directions Write a Review

NPPES record last updated: September 25, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elevation Medical, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELEVATION MEDICAL, INC. (NPI 1639549215) is a healthcare organization registered as a general practice in Fort Collins, Colorado and active in the NPI registry since September 2015. The organization lists Michael Pustilnik, Partner, as its authorized official.

NPPES Registry Identity

NPI1639549215
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameELEVATION MEDICAL, INC.
Location Address4745 BOARDWALK DR UNIT C1Fort Collins, CO 80525-3769
Mailing Address4745 Boardwalk Dr Unit C1Fort Collins, CO 80525-3769 · (970) 207-4066 · Fax (970) 225-1392
Fax(970) 225-1392
Organization SubpartNo
Authorized OfficialMichael PustilnikPartner · (970) 207-4066
Enumeration DateSeptember 25, 2015
NPI 1639549215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4745 BOARDWALK DR UNIT C1, Fort Collins, CO 80525

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Chiropractor
4745 BOARDWALK DR UNIT C1
FORT COLLINS, CO 80525
Chiropractor
4745 BOARDWALK DR UNIT C1
FORT COLLINS, CO 80525
Massage Therapist
4745 BOARDWALK DR UNIT C1
FORT COLLINS, CO 80525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639549215, enumerated as an "organization" on September 25, 2015.

The provider is located at 4745 BOARDWALK DR UNIT C1 FORT COLLINS, CO 80525 and the phone number is (970) 207-4066.

General Practice with taxonomy code 208D00000X.