Organization Active NPI

Elite Physical Therapy and Wellness

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1194067702
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7400 Issued in AZ
Legal business name
ELITE PHYSICAL THERAPY AND WELLNESS
Practice address
19888 N 73Rd Ave
Glendale, AZ 85308-8904
Phone
(623) 234-3368
NPI assigned
Mar 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Craig Brechler, PT
Title
Owner
Phone
(623) 234-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 7400 AZ Primary

Addresses

Primary practice location

19888 N 73Rd Ave
Glendale, AZ 85308-8904

Mailing address

19888 N 73Rd Ave
Glendale, AZ 85308-8904
Phone (623) 234-3368

National Provider Directory

National Provider Directory

Locations

19888 N 73rd Ave
Glendale, AZ 85308
Phone (602) 547-1961

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1194067702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19888 N 73RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088904",
            "telephone_number": "623-234-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19888 N 73RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088904",
            "telephone_number": "623-234-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "BRECHLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-234-3368",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.