ELITE PHYSICAL THERAPY AND WELLNESS, INC. (NPI# 1730635087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730635087 |
| Entity Type | Organization |
| Organization Name | ELITE PHYSICAL THERAPY AND WELLNESS, INC. |
| Practice Address |
135 7th St Decatur MS 39327 |
| Mailing Address |
P.o Box 194 Decatur MS 39327 |
| Practice Telephone | 6016354131 |
| Mailing Telephone | 6016354131 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2017-03-13 |
| Authorized Official Name | MR. HAROLD D THOMPSON III (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 6016163331 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT4343 | MS | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780702209 | Elite Physical Therapy and Wellness, Inc. | Physical Therapist | 79440 Corporate Center Dr Ste 112, La Quinta, CA 92253-7243 | 2007-03-26 |
| Street Address |
135 7TH ST |
| City | DECATUR |
| State | MS |
| Zip Code | 39327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073853107 | Morgan W Morris | Physical Therapy Assistant | 135 Seventh Street, Decatur, MS 39327 | 2013-02-27 |
| 1508078197 | Newton County Schools | Speech-Language Pathologist | 15305 Highway 15, Decatur, MS 39327 | 2007-05-04 |
| 1275752743 | Emily Boggan Thompson | Pharmacist | 95 West Broad Street, Decatur, MS 39327 | 2007-04-24 |
| 1528041639 | John C. Mutziger I | Family Medicine | 14884 Hwy 15, Decatur, MS 39327 | 2005-11-22 |
| 1578082251 | Brandi R Hurdle | Nurse Practitioner | 14884 Highway 15, Decatur, MS 39327 | 2017-09-14 |
| 1093262610 | Krystle Monk | Nurse Practitioner | 14884 Hwy 15, Decatur, MS 39327 | 2016-09-01 |
| 1770963134 | Leticia Seydel | Counselor | 92 South 6th Avenue, Decatur, MS 39327 | 2015-06-01 |
| 1982004859 | James Cary Bradshaw | Family Medicine | 14884 Highway 15, Decatur, MS 39327 | 2014-08-28 |
| 1033460878 | Laird Hospital, Inc. | Family Medicine | 14884 Highway 15, Decatur, MS 39327 | 2012-09-19 |
| 1346546777 | Cynthia B. Massey | Nurse Practitioner | 14884 Hwy 15, Decatur, MS 39327 | 2011-02-02 |
| Find all providers in zip 39327 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456019 | Atlanta Physical Therapy | Clinic/Center | 338 Hillcrest Ave Apt E, Decatur, GA 30030-2068 | 2018-08-07 |
| 1588115984 | Encore Rehab of Priceville | Clinic/Center | 1794 S Bethel Rd, Suite C, Decatur, AL 35603-5410 | 2016-10-20 |
| 1427451244 | Michael Henry Jr. | Clinic/Center | 4153 Flat Shoals Pkwy Building C, Suite 300 A, Decatur, GA 30034-4106 | 2014-10-07 |
| 1962841064 | Decatur Physical Therapy & Sports Medicine | Clinic/Center | 487 Winn Way Ste 201, Decatur, GA 30030-1728 | 2013-06-21 |
| 1437492725 | Agilitas Usa Inc | Clinic/Center | 1241 Pt Mallard Pkwy Ste 201, Decatur, AL 35601-6555 | 2013-04-04 |
| 1295922193 | Stay Strong Solution, LLC | Clinic/Center | 117 Running Bear Trail, Decatur, TX 76234 | 2007-09-25 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1003819608 | Encore Rehabilitation, Inc | Clinic/Center | 251 Johnston St, Suite 300, Decatur, AL 35601-2515 | 2005-05-27 |
| 1871032243 | Peak Physical Therapy and Wellness | Clinic/Center | 216 Johnston St Se, Decatur, AL 35601-2516 | 2017-02-18 |
| 1750826475 | Carinity Therapy Services LLC | Clinic/Center | 1629 4th Ave Se, Suite 120 D, Decatur, AL 35601-4900 | 2017-01-04 |
| Find all providers in DECATUR | ||||
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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.