Organization Active NPI

Elite PT LLC

  • Orthopedic Physical Therapist
  • Hockessin, DE
National Provider Identifier
1063787737
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
J10000675 Issued in DE
Legal business name
ELITE PT LLC
Practice address
100 Fitness Way
Hockessin, DE 19707-2423
Phone
(302) 234-1030
Fax
(302) 234-1032
NPI assigned
Mar 14, 2012
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
John F. Knarr, PT
Title
President/PT
Phone
(302) 226-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X J10000675 DE Primary

Addresses

Primary practice location

100 Fitness Way
Hockessin, DE 19707-2423

Mailing address

1 Grenoble PL
Rehoboth Beach, DE 19971-2847
Phone (302) 381-8348

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
This NPI is an additional NPI on the 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.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1063787737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRENOBLE PL",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199712847",
            "telephone_number": "302-381-8348",
            "fax_number": "302-226-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FITNESS WAY",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197072423",
            "telephone_number": "302-234-1030",
            "fax_number": "302-234-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "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": "PRESIDENT/PT",
        "authorized_official_telephone_number": "302-226-2691",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DE",
            "license": "J10000675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockessin, 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.