Elite Sports Rehabilitation P C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204844 Issued in VA

Legal business name

ELITE SPORTS REHABILITATION P C

Practice address

1240 N Pitt St
Alexandria, VA 22314-5600

Phone

(703) 739-0456

Fax

(703) 739-0032

NPI assigned

Mar 27, 2009

Last updated

Jun 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie Sagle

Title

Physician Administrator

Phone

(571) 330-3165

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Cynthia Helen Durakis, DC

  • Chiropractor
  • Alexandria, VA
  • NPI 1255501334
  NPD (past)

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1104068717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N PITT ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145600",
            "telephone_number": "703-739-0456",
            "fax_number": "703-739-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N PITT ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145600",
            "telephone_number": "703-739-0456",
            "fax_number": "703-739-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPORTS REHABILITATION P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "SAGLE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PHYSICIAN ADMINISTRATOR",
        "authorized_official_telephone_number": "571-330-3165"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevation Ecotherapy PLC
• Hamed A Elfeky, MD
• Rawnag Elghoul
• Diana Wahid Farag Elias, DDS
• Elishama Care Services LLC (Grace Care Services)
• Elites Care, LLC
• Taleisha Ellerbe, LPC
• Ellevate Medical Supply, LLC (BirthCare Medical Supply)
• Marie Zbieg Ellinger, LCSW
• Heidi Elliot, MA, NCC, LPC

• Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.