Elite Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0010762 Issued in WA

Legal business name

ELITE PHYSICAL THERAPY

Doing business as

Edge Phyiscal Therapy & Rehabilitation

Practice address

37624 SE Fury St
Suite C201
Snoqualmie, WA 98065-9680

Phone

(630) 730-5693

NPI assigned

Dec 1, 2012

Last updated

Feb 4, 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

Shilpa Patel, DPTNPI 1104090182

Title

Member

Phone

(630) 730-5693

Specialties & licenses 4

Addresses

Other names 1

• Edge Phyiscal Therapy & Rehabilitation Doing business as

Locations

Practitioners 3

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.

• Shilpa M Patel, DPT, OCS

  • Physical Therapist
  • Snoqualmie, WA
  • NPI 1104090182
  Authorized official Same address or phone
• Charley Liu, PT, DPT

  • Physical Therapist
  • Snoqualmie, WA
  • NPI 1548781131
  NPD
• Linsey Tracy

  • Physical Therapist
  • Snoqualmie, WA
  • NPI 1568867604
  NPD

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1154666154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37624 SE FURY ST",
            "address_2": "STE C201",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659680",
            "telephone_number": "425-941-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37624 SE FURY ST",
            "address_2": "SUITE C201",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659680",
            "telephone_number": "630-730-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-01",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-730-5693",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "00010762",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "00009462",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "0010762",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edge Phyiscal Therapy & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Marie Dunlap, N.D.
• Ron E Bennett, RPH
• Echo Glen Childrens Center (Department of Children, Youth, & Families)
• Stephen Edmunds, LMP
• Elevating Expression Speech and Language PLLC (Elevating Expression)
• Kelsey Ann McFarland Ellis, CTRS
• Benjamin Thomas Elsbrock
• Emerald Homecare
• Encompass Northwest (Encompass)
• Andrea Ennis, PT, DPT

• Physical Therapist in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.