ELITE PERFORMANCE INSTITUTE LLC (NPI# 1417417163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417417163 |
| Entity Type | Organization |
| Organization Name | ELITE PERFORMANCE INSTITUTE LLC |
| Practice Address |
19719 Leitersburg Pike Hagerstown MD 21742-1443 |
| Practice Telephone | 4349646952 |
| Mailing Telephone | 4349646952 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | DR. JOHN PUGH (CO-OWNER / PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4349646952 |
| Authorized Official Credential | DPT, ATC, SCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
19719 LEITERSBURG PIKE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821625294 | Rekinetic Physical Therapy & Wellness, LLC | Physical Therapist | 2413 Eastern Ave Apt 301, Baltimore, MD 21224-3768 | 2020-03-25 |
| 1285282293 | Stephanie Hamilton | Physical Therapist | 1202 Rising Ridge Rd, Mount Airy, MD 21771-7525 | 2019-09-03 |
| 1679071278 | Elizabeth Anne Hatch | Physical Therapist | 11711 Galt Ave, Silver Spring, MD 20902-2709 | 2018-01-29 |
| 1487109740 | 360 Rehab & Wellness LLC | Physical Therapist | 11840 W Market Pl Ste G, Fulton, MD 20759-2619 | 2016-08-16 |
| 1629476296 | Somerset Physical Therapy | Physical Therapist | 12302 Somerset Avenue, Suite C, Princess Anne, MD 21853-1312 | 2014-12-15 |
| 1467513978 | Chesapeake Physical Aquatic Therapy Inc | Physical Therapist | 7080 Deepage Dr, Columbia, MD 21045-5219 | 2006-12-12 |
| 1922118868 | Valerie Howard | Physical Therapist | 5961 Exchange Dr Ste 100, Eldersburg, MD 21784 | 2006-08-30 |
| 1720562069 | Proformance Sports Rehabilitation | Physical Therapist | 2637 Streamview Dr, Odenton, MD 21113-1579 | 2018-09-22 |
| 1558889857 | Mind Over Matter Health Services, Inc | Physical Therapist | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| 1174079321 | Potomac Physical Therapy and Sports Medicine, LLC | Physical Therapist | 7811 Montrose Rd, Suite 350, Potomac, MD 20854-3363 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on ELITE PERFORMANCE INSTITUTE LLC.
| 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.