Active NPI
Athelite Performance Therapy LLC
- Rehabilitation Clinic/Center
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- ATHELITE PERFORMANCE THERAPY LLC
- Practice address
- 926 E Jackson St Ste 600
Phoenix, AZ 85034-2254 - Phone
- (480) 886-2253
- Fax
- (480) 790-4350
- NPI assigned
- Jul 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Johnathan Monteiro, DPT
- Title
- Owner
- Phone
- (480) 886-2253
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
926 E Jackson St Ste 600
Phoenix, AZ 85034-2254
Mailing address
926 E Jackson St Ste 600
Phoenix, AZ 85034-2254
Phone (480) 886-2253
Other names 1
- athELITE PERFORMANCE THERAPY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250410001271 | AZ | Part B Supplier - Clinic/Group Practice | 2466976550 |
Receives reassigned benefits from 1 practitioner Practice locations: Phoenix, AZ |
National Provider Directory
National Provider DirectoryLocations
925 E Jackson St Ste 600
Phoenix, AZ 85034
Phone (480) 886-2253
926 E Jackson St
Ste 600
Phoenix, AZ 85034
Phone (480) 886-2253
925 E Jackson St Ste 600
Phoenix, AZ 85034
Phone (480) 886-2253
1140 W Alameda Dr
Tempe, AZ 85282
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729900800000",
"number": "1336712397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 E JACKSON ST STE 600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850342254",
"telephone_number": "480-886-2253",
"fax_number": "480-790-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 E JACKSON ST STE 600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850342254",
"telephone_number": "480-886-2253",
"fax_number": "480-790-4350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHELITE PERFORMANCE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-19",
"last_updated": "2024-10-26",
"certification_date": "2024-10-26",
"status": "A",
"authorized_official_last_name": "MONTEIRO",
"authorized_official_first_name": "JOHNATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-886-2253",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "athELITE PERFORMANCE THERAPY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "athELITE PERFORMANCE THERAPY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.