ELITE PHYSICAL THERAPY & FITNESS, PSC (NPI# 1639294481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639294481 |
| Entity Type | Organization |
| Organization Name | ELITE PHYSICAL THERAPY & FITNESS, PSC |
| Other Organization Name | ELITE PHYSICAL THERAPY |
| Practice Address |
1217 N Main St Beaver Dam KY 42320-8955 |
| Practice Telephone | 2702747311 |
| Practice Fax Number | 2702747313 |
| Mailing Telephone | 2702747311 |
| Mailing Fax Number | 2702747313 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | KAREN MICHELLE BROOKS (OWNER) |
| Authorized Official Telephone | 2702747311 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Elite Physical Therapy | Doing Business As Name - Organization |
| Street Address |
1217 N MAIN ST |
| City | BEAVER DAM |
| State | KY |
| Zip Code | 42320-8955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558301499 | Karen Michele Brooks | Specialist | 1217 N Main St, Beaver Dam, KY 42320-8955 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386123198 | Tate Downing | Physical Therapist | 1595 Us Hwy 31 S, Beaver Dam, KY 42320 | 2018-08-13 |
| 1679792196 | Bradford Elrod Mutchler | Preventive Medicine | 1219 N. Main St, Beaver Dam, KY 42320 | 2007-04-24 |
| 1922169259 | Kenneth Dwain Alford | Dentist | 1269 Duvall Rd, Suite 2, Beaver Dam, KY 42320 | 2006-12-12 |
| 1205909330 | Susan Smith Rice | Nurse Practitioner | 1219 North Main St, Norsworthy Medical Assoc., Psc, Beaver Dam, KY 42320 | 2006-11-16 |
| 1104929322 | Armand Jules Rigaux | Emergency Medicine | 1219 N. Main St., Beaver Dam, KY 42320 | 2006-09-06 |
| 1326050329 | Jonathan L Shrewsbury | Optometrist | 1303 North Main St., Beaver Dam, KY 42320 | 2006-08-12 |
| 1376583690 | Donald Kevin Gregory | Emergency Medicine | 1213 North Main Street, Beaver Dam, KY 42320 | 2006-06-07 |
| 1982182317 | Bright Futures Behavioral Health | Nurse Practitioner | 1625 N Main St, Beaver Dam, KY 42320 | 2018-07-28 |
| 1669824744 | Aspire Behavioral Therapy, LLC | Counselor | 343 S Main St, Beaver Dam, KY 42320 | 2016-07-12 |
| 1457760662 | Wendy Russell | Counselor | 343 S Main St, Beaver Dam, KY 42320 | 2014-08-13 |
| Find all providers in zip 42320 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669803268 | Maria Derksen | Specialist | 33 University Ave, Beaver Dam, WI 53916-8847 | 2013-12-06 |
| 1558301499 | Karen Michele Brooks | Specialist | 1217 N Main St, Beaver Dam, KY 42320-8955 | 2006-06-08 |
| 1740704089 | Beaver Dam Community Hospitals Inc | Specialist | 705 S University Ave Ste 150, Beaver Dam, WI 53916 | 2017-07-28 |
| 1841476678 | Kimberly J Bivens | Specialist | 1211 N Main St, Beaver Dam, KY 42320-8955 | 2008-01-10 |
| 1992998884 | Tara L. Passow Md Inc | Specialist | 700 Hillcrest Ct, Beaver Dam, WI 53916-2418 | 2007-08-23 |
| 1124128228 | Lynn R Swiggum | Specialist | 705 S University Ave, Suite 150, Beaver Dam, WI 53916-3053 | 2006-09-25 |
| 1467565978 | Family & Sports Orthopaedic Center, LLC | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1932212461 | Robert A Coe | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1366555815 | David C Barton | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1689607087 | Integrity Urologic, Sc | Specialist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2006-07-08 |
| Find all providers in BEAVER DAM | ||||
| City | BEAVER DAM |
| Zip Code | 42320 |
Please comment or provide details below to improve the information on ELITE PHYSICAL THERAPY & FITNESS, PSC.
| 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.