ELITE SPORTS THERAPY INC NPI 1013151489

NPI Information

NPI: 1013151489
Provider Name: ELITE SPORTS THERAPY INC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1184 N GILBERT RD STE 100
GILBERT, AZ
ZIP 85234
Phone: (480) 390-1962
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ELITE SPORTS THERAPY INC is a rehabilitation clinic center in Gilbert, AZ. ELITE SPORTS THERAPY INC NPI is 1013151489. The provider is registered as an organization entity type.

The provider's business location address is:

1184 N GILBERT RD STE 100
GILBERT, AZ
ZIP 85234-476
Phone: (480) 390-1962

The provider's authorized official is Daniel William Rae .
The authorized official title is Medical Director/owner and has the following contact phone number (480) 390-1962.

The enumeration date for this NPI number is 4/28/2009 and was last updated on 4/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	8028	ARIZONA	No
2	261QR0400X	Clinic/Center	Rehabilitation	8028	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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