Active NPI
Elite Physical Therapy and Wellness LLC
- Physical Therapy Clinic/Center
- Rostraver TWP, PA
National Provider Identifier
1104465343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ELITE PHYSICAL THERAPY AND WELLNESS LLC
- Practice address
- 638 Rostraver Rd Ste 102
Rostraver TWP, PA 15012-1967 - Phone
- (412) 997-6405
- NPI assigned
- Jan 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emilio Galis, DPT
- Title
- Owner/Physical Therapist
- Phone
- (412) 997-6405
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
638 Rostraver Rd Ste 102
Rostraver TWP, PA 15012-1967
Mailing address
338 Helen Ave
Monessen, PA 15062-2411
Phone (412) 997-6405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200326001233 | PA | Part B Supplier - Clinic/Group Practice | 6305275314 |
Receives reassigned benefits from 7 practitioners Practice locations: Rostraver TWP, PA |
National Provider Directory
National Provider DirectoryLocations
638 Rostraver Rd
Ste 102
Rostraver Twp, PA 15012
Phone (412) 997-6405
638 Rostraver Rd
Ste 104
Rostraver Twp, PA 15012
Phone (724) 243-3728
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fairfax, VA
- NPI 1912244302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584316800000",
"number": "1104465343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 HELEN AVE",
"city": "MONESSEN",
"state": "PA",
"postal_code": "150622411",
"telephone_number": "412-997-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 ROSTRAVER RD STE 102",
"city": "ROSTRAVER TWP",
"state": "PA",
"postal_code": "150121967",
"telephone_number": "412-997-6405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE PHYSICAL THERAPY AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-06",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A",
"authorized_official_last_name": "GALIS",
"authorized_official_first_name": "EMILIO",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "412-997-6405",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rostraver TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.