ELITE PHYSICAL THERAPY & REHAB, INC. (NPI# 1255660619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255660619 |
| Entity Type | Organization |
| Organization Name | ELITE PHYSICAL THERAPY & REHAB, INC. |
| Practice Address |
1032 Tamiami Trl Unit 1 Port Charlotte FL 33953-3802 |
| Mailing Address |
Po Box 494857 Port Charlotte FL 33949-4857 |
| Practice Telephone | 9419162313 |
| Practice Fax Number | 9412067250 |
| Mailing Telephone | 9419162313 |
| Mailing Fax Number | 9412067250 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | MRS. RAJAKUMARI MUPPAVARAPU (DIRECTOR) |
| Authorized Official Telephone | 9419162313 |
| Authorized Official Credential | M.B.A.,M.H.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1032 TAMIAMI TRL UNIT 1 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33953-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932409471 | Suzette Irene Haxton | Massage Therapist | 1032 Tamiami Trl, Unit 1, Port Charlotte, FL 33953-3802 | 2010-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376079368 | Dawn Olson | Developmental Therapist | 14299 Silver Lakes Cir, Port Charlotte, FL 33953 | 2017-05-11 |
| 1164580536 | Brian R Webster | Physician Assistant | 530 Tamiami Trail, Port Charlotte, FL 33953 | 2006-12-05 |
| 1528069192 | Cardinal Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 779 Tamiami Trail, Ste 8, Port Charlotte, FL 33953 | 2005-08-09 |
| 1720210404 | Elaine F Pyzikiewicz | Massage Therapist | 474 Lomond Dr, Port Charlotte, FL 33953-1526 | 2009-08-14 |
| 1013313212 | Kathleen Spencer | Speech-Language Pathologist | 15152 Buswell Ave, Port Charlotte, FL 33953-2007 | 2014-11-15 |
| 1235426719 | Christina M Parker | Nurse Practitioner | 430 Border St, Port Charlotte, FL 33953-2015 | 2011-07-05 |
| 1952514283 | Pascal P Bordy | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-05-07 |
| 1326552001 | Vladislav Zalevskiy | Massage Therapist | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2017-11-16 |
| 1154502284 | Pascal Bordy Md Pa | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-11-16 |
| 1497296891 | Cody Bishop | Physical Therapy Assistant | 708 Bowman Ter, Port Charlotte, FL 33953-2133 | 2017-03-17 |
| Find all providers in zip 33953 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834486 | Just Get Well Inc | Clinic/Center | 2484 Caring Way Unit A, Port Charlotte, FL 33952-5306 | 2020-02-24 |
| 1215491675 | Joseph M Fiscella | Clinic/Center | 1504 Inverness St, Port Charlotte, FL 33952-4720 | 2019-01-29 |
| 1386041887 | Golden Touch Physical Therapy, Inc | Clinic/Center | 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 | 2014-11-26 |
| 1457622367 | Elizabeth Mary Lindsey | Clinic/Center | 4161 Tamiami Trl, Unit # 704, Port Charlotte, FL 33952-9283 | 2012-01-24 |
| 1245533959 | Shine Rehab Inc | Clinic/Center | 2301 Tamiami Trl, Suite C, Port Charlotte, FL 33952-3907 | 2010-12-20 |
| 1679761696 | Fitness Quest-port Charlotte LLC | Clinic/Center | 4161 Tamiami Trl, Suite 103, Port Charlotte, FL 33952-9204 | 2007-10-04 |
| 1043279458 | Southwest Physical Therapy & Rehabilitation Inc | Clinic/Center | 4161 Tamiami Trl, Suite 304, Port Charlotte, FL 33952-9204 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
| 1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
| 1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
| 1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
| 1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33953 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.