Elixir Physical Therapy LLC

Key facts

NPI

1124459003

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapist 225100000X

License

PT007464 (OH)

Legal business name

ELIXIR PHYSICAL THERAPY LLC

Practice address

117 W High St
Suite 106
London, OH 43140-1300

Phone

(937) 717-4045

NPI assigned

Dec 3, 2013

Organization subpart

No

Authorized official

Name

Manoj Kumar

Title

President

Phone

(937) 603-1941

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• StepUp Rehab Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 3, 2013.

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1124459003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GLENLUCE CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W HIGH ST",
            "address_2": "SUITE 106",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401300",
            "telephone_number": "937-717-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIXIR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-603-1941"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StepUp Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, OH

• Heather M. Dwyer, D.C.
• Mia Eberts-Tortora
• Adeleye A. Edon, DO
• Amber Renee Eiting, APRN-CNP
• Robert Phillip Eldridge, LISW
• Michael English
• Gary Paul Erdy, MD
• Nijmah O Etayem
• Jack L Ewan, O.D.
• David Allen Fairchild, R.PH.

All providers in London, OH · Physical Therapist in Ohio