NPIMap

Organization Active NPI

Elderfit Physical Therapy and Consulting Inc.

Doing business as IhHome Rehab North Carolina

  • Physical Therapist
  • Hillsborough, NC
National Provider Identifier
1235237637
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3426 Issued in NC
Legal business name
ELDERFIT PHYSICAL THERAPY AND CONSULTING INC.
Doing business as
IhHome Rehab North Carolina
Practice address
2002 Bartlett Cir
Hillsborough, NC 27278-6921
Phone
(919) 614-1923
NPI assigned
Sep 20, 2006
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Victoria TilleyNPI 1902918139
Title
Owner
Phone
(919) 614-1923

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 3426 NC Primary

Addresses

Primary practice location

2002 Bartlett Cir
Hillsborough, NC 27278-6921

Mailing address

2002 Bartlett Cir
Hillsborough, NC 27278-6921
Phone (919) 614-1923

Other identifiers 1

IdentifierTypeStateIssuer
016MTOtherNCBCBS

Other names 1

  • IhHome Rehab North Carolina Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712001587 NC Part B Supplier - Clinic/Group Practice 0648258905 Receives reassigned benefits from 6 practitioners
Practice locations: Morrisville, NC

National Provider Directory

National Provider Directory

Locations

205 Emerald Pond Ln
Unit 3
Durham, NC 27705
Phone (919) 614-1923

406 Rigsbee Ave
Durham, NC 27701
Phone (919) 451-6433

301 E Washington St
Greensboro, NC 27401
Phone (336) 333-6853

103 Meadowlands Dr
Hillsborough, NC 27278
Phone (919) 614-1923

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1235237637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 BARTLETT CIR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272786921",
            "telephone_number": "919-614-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 BARTLETT CIR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272786921",
            "telephone_number": "919-614-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERFIT PHYSICAL THERAPY AND CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-614-1923"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "3426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016MT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IhHome Rehab North Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.