Elite Physio Concepts

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

FL0009941 Issued in FL

Legal business name

ELITE PHYSIO CONCEPTS

Practice address

30 Skyline Dr
Lake Mary, FL 32746-2122

Phone

(407) 792-0031

Fax

(407) 241-4992

NPI assigned

Jan 8, 2016

Organization subpart

No

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

Authorized official

Name

Michael Henkelman, PT

Title

Owner/Manager

Phone

40792496332

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kyle Legrow, PTA

  • Physical Therapy Assistant
  • Lake Mary, FL
  • NPI 1326679713
  NPD

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1316303134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SKYLINE DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466201",
            "telephone_number": "407-792-0031",
            "fax_number": "407-241-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SKYLINE DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462122",
            "telephone_number": "407-792-0031",
            "fax_number": "407-241-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSIO CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "HENKELMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "40792496332",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "FL0009941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amee Elder, LMHC
• Tearra Latrice Elerson
• Elevate Primary Care & Wellness LLC
• Elevation Health Lake Mary,LLC
• Elite Homecare Solutions LLC
• Elite-Star Medical Transport LLC.
• Thomas Ellis, MS
• Elocin Wellness LLC
• Nicholas Elsey
• Mohamed Badreldin Elshazly, M.D

• Orthopedic Physical Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.