Elite Rehab Inc
A Medicare group practice based in Prattville, AL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436476066), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9436476066
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AL
- Enrollments
- 1
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20150319001885 | AL | Part B Supplier - Clinic/Group Practice | 1518361294 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Elite Rehab Inc
- Physical Therapist
- Roanoke, AL
- NPI 1518361294
-
Elite Rehab Inc
- Physical Therapy Clinic/Center
- Montgomery, AL
- NPI 1588020606
Practice locations
- Montgomery, AL1
- Roanoke, AL1
- Pike Road, AL1
- Prattville, AL1
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (12).
-
Jared Merrill Blair, DPT
- Physical Therapist
- Tallassee, AL
- NPI 1689969701
-
Justin B Crain, RPT
- Physical Therapist
- Tallassee, AL
- NPI 1790721363
-
Tyson Carter Crisman, MPT
- Physical Therapist
- Prattville, AL
- NPI 1306954276
-
Cody Brian Dingman, DPT
- Physical Therapist
- Deatsville, AL
- NPI 1760211130
-
Loren Grace Harris, DPT
- Physical Therapist
- Auburn, AL
- NPI 1376367193
-
Kotrybet Brandon Keodouangdy, PT, DPT
- Physical Therapist
- Brooklyn, NY
- NPI 1043195936
-
Jonathon Worth Locke
- Physical Therapist
- Montgomery, AL
- NPI 1962048454
-
Clint D Mann, DPT
- Physical Therapist
- Montgomery, AL
- NPI 1124348875
-
Albert James Mayhan IV, PT
- Physical Therapist
- Montgomery, AL
- NPI 1619421435
-
Harlan Scott Owenby, DPT
- Physical Therapist
- Tallassee, AL
- NPI 1407220569
-
Kana Pair
- Physical Therapist
- Pike Road, AL
- NPI 1770989774
-
Randall Alan Ransom Jr., DPT
- Physical Therapist
- Auburn, AL
- NPI 1306124151
-
Ginger C Roberts, PT
- Physical Therapist
- Oxford, AL
- NPI 1457316903
-
Dalton Screws
- Physical Therapist
- Roanoke, AL
- NPI 1538793401
-
Rachel Lee Stewart, PT
- Physical Therapist
- Pike Road, AL
- NPI 1285842617
-
Dakota Andrew Vessicchio, DPT
- Physical Therapist
- Montgomery, AL
- NPI 1700609724
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.