Elite Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01105400 Issued in NJ

Legal business name

ELITE PERFORMANCE LLC

Practice address

918 South Ave W
Westfield, NJ 07090-1415

Phone

(855) 633-3786

NPI assigned

Dec 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thao Tran, PTNPI 1184682965

Title

Owner

Phone

(855) 633-3786

Specialties & licenses 2

Addresses

Tax ID family

Elite Performance LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elite Performance LLC

  • Physical Therapy Clinic/Center
  • Ventnor City, NJ
  • NPI 1265728539
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thao Tran, PT

  • Physical Therapist
  • Westfield, NJ
  • NPI 1184682965
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1013452176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 SOUTH AVE W",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 SOUTH AVE W",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901415",
            "telephone_number": "855-633-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-633-3786",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01105400",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01103700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Hope Edelman
• Robin Deborah Edelstein
• Danielle Egan
• Eileen a. Zhivago, M.D., LLC
• Jack C Elbaum, DDS
• Jessica Ellis
• Christian Ellison, MD
• Elynne B Margulis MD LLC
• Embrace Psychiatric Wellness Center
• Endocrine Associates of Westfield

• Physical Therapy Clinic/Center in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.