Elixir Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007464 Issued in OH

Legal business name

ELIXIR PHYSICAL THERAPY LLC

Doing business as

StepUp Rehab

Practice address

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

Phone

(937) 717-4045

NPI assigned

Dec 3, 2013

Last updated

Dec 3, 2013By 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

Manoj Kumar

Title

President

Phone

(937) 603-1941

Specialties & licenses 1

Addresses

Other names 1

• StepUp Rehab Doing business as

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

{
    "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"
        }
    ]
}

• 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.

• Physical Therapist in London, OH
• Providers in London, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.