Elite Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE REHABILITATION LLC

Practice address

11 Baniulis Rd
Billerica, MA 01821-1509

Phone

(978) 408-9568

NPI assigned

Mar 29, 2024

Organization subpart

No

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

Authorized official

Name

John ResteghiniNPI 1053620997

Title

Founder/Ceo

Phone

(978) 408-9568

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Mark Resteghini, DPT

  • Physical Therapist
  • Acton, MA
  • NPI 1053620997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1255182028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BANIULIS RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BANIULIS RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211509",
            "telephone_number": "978-408-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "RESTEGHINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "978-408-9568"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Dental of Billerica PC
• Holly Driscoll, LMFT
• Karissa Drumm
• Shazneen Keyamanesh Eisner, M.D.
• Eliot Community Human Services
• Elite Sante Plus
• Empire Vision Center Inc
• Isaiah James Escamilla
• Christine Barbara Ethier, BSN
• Andrea Evans

• Physical Therapist in Billerica, MA
• Providers in Billerica, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.