Elemental Sports PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELEMENTAL SPORTS PT LLC

Practice address

209 W Wayne Ave
Wayne, PA 19087-3917

Phone

(302) 528-1007

NPI assigned

Jul 7, 2020

Organization subpart

No

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

Authorized official

Name

Daniel C Singles, PT, DPTNPI 1346513579

Title

Ceo

Phone

(302) 528-1007

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Christopher Singles, PT, DPT

  • Physical Therapist
  • Radnor, PA
  • NPI 1346513579
  NPD Authorized official
• Mikaela Anne Smith Endy, PT, DPT

  • Physical Therapist
  • Radnor, PA
  • NPI 1760267066
  NPD

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1154949196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 WHARTON BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411175",
            "telephone_number": "302-528-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W WAYNE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873917",
            "telephone_number": "302-528-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL SPORTS PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "SINGLES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-528-1007",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Wayne, PA
• Providers in Wayne, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.