Elite Physical Therapy and Health, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT-2031 Issued in ID

Legal business name

ELITE PHYSICAL THERAPY AND HEALTH, LLC

Practice address

1255 Oakley Ave
Burley, ID 83318-1832

Phone

(208) 678-2155

Fax

(208) 678-2153

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Curtis Angus Mason, DPTNPI 1699833061

Title

Owner

Phone

(208) 678-2155

Specialties & licenses 1

Addresses

Locations

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.

• Curtis A Mason, DPT

  • Physical Therapist
  • Burley, ID
  • NPI 1699833061
  Authorized official Same address or phone

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1255567236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 OAKLEY AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181832",
            "telephone_number": "208-678-2155",
            "fax_number": "208-678-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 OAKLEY AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181832",
            "telephone_number": "208-678-2155",
            "fax_number": "208-678-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY AND HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "ANGUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-678-2155",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ID",
            "license": "PT-2031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Lee Dunlap, N.D., C.A.C., L.M.T
• Tyler Earl, COTA/L
• Deneb Edwards, M.T.
• Elizabeth Ashley Edwards, RN
• Michelle Eide, MD
• Misty R Enger
• Lynne Eppers
• Katelin Tingey Erekson, CF-SLP
• Evans Dental PA
• Evans Family Chiropractic, LLC.

• Physical Therapy Clinic/Center in Burley, ID
• Providers in Burley, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.