Organization Active NPI

Elite Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Parker, CO
National Provider Identifier
1376620914
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3606 Issued in CO
Legal business name
ELITE PHYSICAL THERAPY INC
Practice address
11020 S Pikes Peak Dr Ste 110
Parker, CO 80138-7413
Phone
(303) 841-2524
Fax
(303) 840-1319
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Mrs. Marnie McDowall, PT
Title
Owner
Phone
(303) 489-7893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 3606 CO Primary

Addresses

Primary practice location

11020 S Pikes Peak Dr Ste 110
Parker, CO 80138-7413

Mailing address

11020 S Pikes Peak Dr Ste 110
Parker, CO 80138-7413
Phone (303) 841-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928000466 CO Part B Supplier - Clinic/Group Practice 5294760344 Receives reassigned benefits from 2 practitioners
Practice locations: Parker, CO

National Provider Directory

National Provider Directory

Locations

19751 E Mainstreet
Ste R7
Parker, CO 80138
Phone (303) 489-7893

19201 E Mainstreet
Ste 205
Parker, CO 80134
Phone (303) 489-7893

Practitioners & affiliated clinicians

Practitioners 2

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1376620914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 S PIKES PEAK DR STE 110",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387413",
            "telephone_number": "303-841-2524",
            "fax_number": "303-840-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 S PIKES PEAK DR STE 110",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387413",
            "telephone_number": "303-841-2524",
            "fax_number": "303-840-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "MCDOWALL",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-489-7893",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "3606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.

Verify at the official NPI Registry.