Organization Active NPI

Elite Mobility Physical Therapy

  • Physical Therapist
  • Rancho Santa Margarita, CA
National Provider Identifier
1215753751
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELITE MOBILITY PHYSICAL THERAPY
Practice address
22431 Antonio Pkwy # B160-673
Rancho Santa Margarita, CA 92688-2804
Phone
(949) 749-2749
NPI assigned
Nov 30, 2024
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Shayna Slater, PT, DPT, OCS, CSCSNPI 1770730673
Title
Owner, Physical Therapist
Phone
(949) 749-2749

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 Primary

Addresses

Primary practice location

22431 Antonio Pkwy # B160-673
Rancho Santa Margarita, CA 92688-2804

Mailing address

22431 Antonio Pkwy # B160-673
Rancho Santa Margarita, CA 92688-2804

National Provider Directory

National Provider Directory

Locations

22431 Antonio Pkwy
#B160673
Rancho Santa Margarita, CA 92688
Phone (949) 749-2749

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": "1732924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1215753751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY # B160-673",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY # B160-673",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882804",
            "telephone_number": "949-749-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MOBILITY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-30",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "949-749-2749",
        "authorized_official_credential": "PT, DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.