Elite Medical Resources

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELITE MEDICAL RESOURCES

Practice address

131 Pine Acres Dr
Haughton, LA 71037-7355

Phone

(318) 344-4243

NPI assigned

Sep 19, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cody Landon Hinson, OWNER

Title

Owner

Phone

(318) 344-4243

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1346077542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PINE ACRES DR",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710377355",
            "telephone_number": "318-344-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PINE ACRES DR",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710377355",
            "telephone_number": "318-344-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "HINSON",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "LANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-344-4243",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Dale
• Lance Danos, PT, DPT
• Shondreika Tenae Davis, NP
• James Claudius Degueurce III, MD
• Paul Alan Edwards
• Brianna Ellis
• Ann Marie Engle, PTA
• Entrum Care Inc
• Entrum Care Inc
• Entrum Care Inc

• Physical Therapy Clinic/Center in Haughton, LA
• Providers in Haughton, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.