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KEYSTONE PHYSICAL MEDICINE
NPI 1770963274
Physical Medicine & Rehabilitation - Pain Medicine in Boise, ID

Active since June 01, 2015
420 W MAIN ST, #206, BOISE, ID 83702(208) 426-9200 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keystone Physical Medicine NPPES

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

KEYSTONE PHYSICAL MEDICINE (NPI 1770963274) is a healthcare organization registered as a pain medicine in Boise, Idaho and active in the NPI registry since June 2015. The organization lists Cory M Sartin, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1770963274
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameELEVATE HEALTH GROUP PLLC
Location Address420 W MAIN ST, #206Boise, ID 83702-7284
Mailing AddressPo Box 2193Boise, ID 83701-2193
Phone(208) 426-9200
Organization SubpartNo
Authorized OfficialCory M SartinClinic Director · (208) 426-9200
Enumeration DateJune 1, 2015
Last NPPES UpdateOctober 19, 2015
✔ NPI 1770963274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in ID · NP-1093A
Definition
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.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License NP-1093A (ID)
420 W MAIN ST, Boise, ID 83702
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Other Names 1

Doing Business AsKeystone Physical Medicine

Other Identifiers 1

Medicare UPIN20007639ID

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 NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORY MICHAEL SARTIN D.C
Chiropractor
420 W MAIN ST, SUITE 206
BOISE, ID 83702
Ada County (208) 426-9200
HEATHER JEAN DIETZ PA-C
Physician Assistant
420 W MAIN ST, SUITE 203
BOISE, ID 83702
Ada County (208) 429-1627
CRYSTAL MONROE LMT
Massage Therapist
420 W MAIN ST
BOISE, ID 83702
Ada County (208) 426-9200
HEIDI VIRLEE RITCHIE NP-C
Nurse Practitioner (Psychiatric/Mental Health)
420 W MAIN ST, SUITE 203
BOISE, ID 83702
Ada County (208) 429-1627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elevate Health Group PLLC's NPI number?

The NPI number for Elevate Health Group PLLC is 1770963274. It was assigned to this organization in the NPPES registry on June 1, 2015. The provider is doing business as Keystone Physical Medicine.

Where is Elevate Health Group PLLC located?

Elevate Health Group PLLC is located at 420 W Main St #206, Boise, ID 83702. The listed phone number is (208) 426-9200.

What is Elevate Health Group PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Elevate Health Group PLLC was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.