Organization Active NPI

Elite Movement Specialists LLC

  • Physical Therapist
  • Macon, GA
National Provider Identifier
1285413724
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELITE MOVEMENT SPECIALISTS LLC
Practice address
4524 Forsyth Rd Ste 104
Macon, GA 31210-4546
Phone
(561) 891-1795
Fax
(478) 292-2117
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Joshua Scott Beagle, DPTNPI 1255892600
Title
Owner/Physical Therapists
Phone
(561) 891-1795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4524 Forsyth Rd Ste 104
Macon, GA 31210-4546

Mailing address

4524 Forsyth Rd Ste 104
Macon, GA 31210-4546

National Provider Directory

National Provider Directory

Locations

4524 Forsyth Rd
Ste 104
Macon, GA 31210
Phone (478) 477-2600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1285413724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 FORSYTH RD STE 104",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104546",
            "fax_number": "478-292-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 FORSYTH RD STE 104",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104546",
            "telephone_number": "561-891-1795",
            "fax_number": "478-292-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MOVEMENT SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "BEAGLE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPISTS",
        "authorized_official_telephone_number": "561-891-1795",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.