NPIMap

Organization Active NPI

Elite Physical Therapy & Rehab, Inc.

  • Physical Therapy Clinic/Center
  • Port Charlotte, FL
National Provider Identifier
1255660619
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELITE PHYSICAL THERAPY & REHAB, INC.
Practice address
1032 Tamiami TRL
Unit 1
Port Charlotte, FL 33953-3802
Phone
(941) 916-2313
Fax
(941) 206-7250
NPI assigned
Dec 15, 2009
Last updated
Dec 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Mrs. Rajakumari Muppavarapu, M.B.A.,M.H.A
Title
Director
Phone
(941) 916-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1032 Tamiami TRL
Unit 1
Port Charlotte, FL 33953-3802

Mailing address

PO Box 494857
Port Charlotte, FL 33949-4857
Phone (941) 916-2313

National Provider Directory

National Provider Directory

Locations

1032 Tamiami Trl
Unit 1
Port Charlotte, FL 33953
Phone (941) 628-8904

Practitioners & affiliated clinicians

Practitioners 4

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": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1255660619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494857",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339494857",
            "telephone_number": "941-916-2313",
            "fax_number": "941-206-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 TAMIAMI TRL",
            "address_2": "UNIT 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339533802",
            "telephone_number": "941-916-2313",
            "fax_number": "941-206-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY & REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "MUPPAVARAPU",
        "authorized_official_first_name": "RAJAKUMARI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "941-916-2313",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.B.A.,M.H.A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.