NPIMap

Organization Active NPI

Elite Rehabilitation Center, Inc.

  • Physical Therapy Clinic/Center
  • Santa Barbara, CA
National Provider Identifier
1013940634
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELITE REHABILITATION CENTER, INC.
Practice address
5152 Hollister Ave
Santa Barbara, CA 93111-2526
Phone
(805) 681-9108
Fax
(805) 681-9208
NPI assigned
Jul 8, 2006
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Michael Alan Swan, MPTNPI 1467529099
Title
Principal
Phone
(805) 681-9108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5152 Hollister Ave
Santa Barbara, CA 93111-2526

Mailing address

5152 Hollister Ave
Santa Barbara, CA 93111-2526
Phone (805) 681-9108

Other identifiers 4

IdentifierTypeStateIssuer
PT22203OtherCAPHYSICAL THERAPY
PT28354OtherCAPHYSICAL THERAPY
PT28126OtherCAPHYSICAL THERAPY
PT28528OtherCAPHYSICAL THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000471 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193804276 Receives reassigned benefits from 14 practitioners
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

121 Gray Ave
Ste 100
Santa Barbara, CA 93101
Phone (805) 681-9108

5152 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 681-9108

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1013940634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112526",
            "telephone_number": "805-681-9108",
            "fax_number": "805-681-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112526",
            "telephone_number": "805-681-9108",
            "fax_number": "805-681-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "805-681-9108",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "PT22203",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "PT28354",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "PT28126",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "PT28528",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.