Elite Physical Therapy of Southfield LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE PHYSICAL THERAPY OF SOUTHFIELD LLC

Practice address

15565 Northland Dr E Ste 816
Southfield, MI 48075-5329

Phone

(248) 722-1156

NPI assigned

Oct 1, 2020

Organization subpart

No

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

Authorized official

Name

Raja Govindarajalu, R.P.T.

Title

Owner

Phone

(248) 722-1156

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1295332435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR E STE 816",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755329",
            "telephone_number": "248-722-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR E STE 816",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755329",
            "telephone_number": "248-722-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY OF SOUTHFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "GOVINDARAJALU",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-722-1156",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SOUTHFIELD",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15565 Northland Dr E Ste 816",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480755329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mona Elhady, LLMSW
• Kara Elias, CPSS
• Elite Care & Services
• Elite Management Trasportation
• Elite Medical Transportation R&D
• Elite Therapy Solutions Inc.
• Elite Visiting Physicians
• Elk Medical Equipment
• Mohammed Elkafarneh
• Jennifer D Elkins, R.D.

• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.