Elite Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELITE THERAPY LLC

Practice address

3816 County Road C
Deshler, OH 43516-9758

Phone

(419) 906-1088

NPI assigned

Feb 3, 2013

Organization subpart

No

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

Authorized official

Name

Michael Boyer, MPT

Title

Owner

Phone

(419) 906-1088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359849600000",
    "number": "1255670840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 COUNTY ROAD C",
            "city": "DESHLER",
            "state": "OH",
            "postal_code": "435169758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 COUNTY ROAD C",
            "city": "DESHLER",
            "state": "OH",
            "postal_code": "435169758",
            "telephone_number": "419-906-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-03",
        "last_updated": "2013-02-03",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-906-1088",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Bingley
• Michael Jay Boyer, MPT
• Latrina Bray
• Hannah Nicole Davis, PHARMD, RPH
• Dan Dean
• Jacqueline Louise Ellerbrock
• Pamela Kay Franz
• Tiffany Geer
• Kelly Gerken, DOULA
• Natalie Renee Gerken

• Physical Therapy Clinic/Center in Deshler, OH
• Providers in Deshler, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; 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.