Elite Physical & Sports Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008610 Issued in WA

Legal business name

ELITE PHYSICAL & SPORTS THERAPY LLC

Practice address

309 E Farwell
Ste 104
Spokane, WA 99218

Phone

(509) 465-2139

Fax

(509) 465-2548

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Mike Kistler, M.S.P.T

Title

Owner

Phone

(509) 465-2139

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1174782999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E FARWELL",
            "address_2": "STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99218",
            "telephone_number": "509-465-2139",
            "fax_number": "509-465-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E FARWELL",
            "address_2": "STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99218",
            "telephone_number": "509-465-2139",
            "fax_number": "509-465-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL & SPORTS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "KISTLER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-465-2139",
        "authorized_official_credential": "M.S.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Elias, MA, MS, LMHC
• Joseph Stephen Elias, MA, LMHC, NCC
• Hawa Eliason
• Jaclyn M Eliassen, DDS
• Elite Minds PLLC
• Elizabeth a. Tomeo, M.D.
• Elizabeth a. Turner, MD
• Elizabeth a. Turner, MD
• Alaa Elkharwily, M.D.
• Zaynab Alene Elkherbaoui

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.