NPIMap

Organization Active NPI

Elite PT LLC

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1063684041
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10000741 Issued in DE
Legal business name
ELITE PT LLC
Practice address
910 Foulk Rd
Suite 100
Wilmington, DE 19803-3158
Phone
(302) 477-1536
Fax
(302) 477-1564
NPI assigned
Mar 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Mr. John F Knarr, PT, ATC
Title
Partner
Phone
(302) 381-8348

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X J10000741 DE Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X J10000682 DE
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X J10000675 DE

Addresses

Primary practice location

910 Foulk Rd
Suite 100
Wilmington, DE 19803-3158

Mailing address

910 Foulk Rd
Suite 100
Wilmington, DE 19803-3158
Phone (302) 477-1536

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071001000219 DE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315032711 Receives reassigned benefits from 26 practitioners
4 other NPIs on this enrollment
Practice locations: Wilmington, DE; Middletown, DE; Hockessin, DE

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Elite PT LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

100 Fitness Way
Hockessin, DE 19707
Phone (302) 234-1030

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1063684041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 FOULK RD",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033158",
            "telephone_number": "302-477-1536",
            "fax_number": "302-477-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 FOULK RD",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033158",
            "telephone_number": "302-477-1536",
            "fax_number": "302-477-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-30",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "KNARR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "302-381-8348",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10000741",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10000682",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10000675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.