Organization Active NPI

Elite Edge Physical Therapy, PLLC

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1205542628
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELITE EDGE PHYSICAL THERAPY, PLLC
Practice address
5108 Argus LN
Richmond, VA 23230-2320
Phone
(804) 215-6191
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Sarah Janicek Osowski, DPTNPI 1649792854
Title
Dr.
Phone
(804) 215-6191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

5108 Argus LN
Richmond, VA 23230-2320

Mailing address

PO Box 11394
Richmond, VA 23230-1394

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1205542628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11394",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 ARGUS LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302320",
            "telephone_number": "804-215-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EDGE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "OSOWSKI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JANICEK",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "804-215-6191",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.