Elite Rehab and Performance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE REHAB AND PERFORMANCE LLC

Practice address

100 Business Depot Rd
Ringgold, GA 30736-1160

Phone

(423) 212-3278

Fax

(706) 995-6859

NPI assigned

Oct 17, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Holli Guthrie, DPT

Title

PT

Phone

(423) 779-4536

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Joshua Judson Guthrie, PTA

  • Physical Therapy Assistant
  • Rossville, GA
  • NPI 1588354062
  NPD

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1265158745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROWNING DR",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307413370",
            "telephone_number": "423-779-4536",
            "fax_number": "706-995-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUSINESS DEPOT RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307361160",
            "telephone_number": "423-212-3278",
            "fax_number": "706-995-6859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Glass Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Chickamauga",
            "state": "GA",
            "postal_code": "307073443",
            "country_code": "US",
            "telephone_number": "423-779-4536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE REHAB AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "423-779-4536",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan G. Dudley, N.P.
• Baxter Raymond Easler, LPN
• Eddie Test Medical Equipment Inc (Eddie Test's Home Medical Equipment)
• Jennifer Edwards
• Haley Alicia Egesdahl, PT, DPT
• Shana B Ellis, CRNP
• En LLC (Erlanger Express Care)
• Heather English
• Erlanger Health
• Kimberly Paige Esparza, DPT

• Physical Therapist in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.