Organization Active NPI

Elite Enterprises LLC

  • Multi-Specialty Clinic/Center
  • Ashburn, VA
National Provider Identifier
1376215871
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ELITE ENTERPRISES LLC
Practice address
44427 Atwater Dr Ste 130
Ashburn, VA 20147-3423
Phone
(703) 944-2626
NPI assigned
Oct 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
McKenna Smet, MPH, CSCS, CHESNPI 1568145431
Title
Owner
Phone
(301) 263-4570

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Rehabilitation Clinic/Center 261QR0400X
Physiological Laboratory 293D00000X

Addresses

Primary practice location

44427 Atwater Dr Ste 130
Ashburn, VA 20147-3423

Mailing address

44427 Atwater Dr Ste 130
Ashburn, VA 20147-3423
Phone (703) 944-2626

Other identifiers 1

IdentifierTypeStateIssuer
82-5081426OtherVANA

Other names 2

  • Elite Wellness Doing business as
  • Elite Wellness Performance and Recovery Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://elitewellnessdmv.as.me/schedule.php Direct
CONNECT URL https://elitewellnessperformance.com
CONNECT URL https://www.wellnessliving.com Direct

National Provider Directory

National Provider Directory

Locations

44611 Guilford Dr
Ste 110
Ashburn, VA 20147

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": "1633132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1376215871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44427 ATWATER DR STE 130",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473423",
            "telephone_number": "703-944-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44427 ATWATER DR STE 130",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473423",
            "telephone_number": "703-944-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-02",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "SMET",
        "authorized_official_first_name": "MCKENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-263-4570",
        "authorized_official_credential": "MPH, CSCS, CHES"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "82-5081426",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://elitewellnessdmv.as.me/schedule.php",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "44611 Guilford Dr Ste 110",
            "city": "Ashburn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201476069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://elitewellnessperformance.com",
            "affiliation": "N",
            "address_1": "44427 Atwater Dr Ste 130",
            "city": "Ashburn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201473423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.wellnessliving.com",
            "affiliation": "N",
            "endpointDescription": "Telehealth communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "44427 Atwater Dr Ste 130",
            "city": "Ashburn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201473423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elite Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Wellness Performance and Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Wellness Performance and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.