Elite PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0000675 Issued in DE

Legal business name

ELITE PT LLC

Practice address

1 Grenoble PL
Rehoboth Beach, DE 19971-2847

Phone

(302) 226-2691

Fax

(302) 226-2692

NPI assigned

Jan 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. John Franklin Knarr, PT

Title

PT/President

Phone

(302) 381-8348

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Elite PT LLC

  • Physical Therapist
  • Wilmington, DE
  • NPI 1063684041

  O20071001000219

  Same enrollment
• Elite PT LLC

  • Orthopedic Physical Therapist
  • Hockessin, DE
  • NPI 1063787737

  O20071001000219

  Same enrollment
• Elite PT LLC

  • Orthopedic Physical Therapist
  • Wilmington, DE
  • NPI 1811482599

  O20071001000219

  Same enrollment
• Elite PT LLC

  • Physical Therapist
  • Rehoboth Beach, DE
  • NPI 1871647107

  O20071001000219

  Same enrollment

Practitioners 4

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

• Mirthe Frederieke Berends

  • Physical Therapist
  • Hockessin, DE
  • NPI 1356124572
  NPD
• Kevin Griffith

  • Physical Therapist
  • Dover, DE
  • NPI 1720684426
  NPD
• Trevor Kosinski

  • Athletic Trainer
  • Newark, DE
  • NPI 1720612302
  NPD
• Christopher Warren Vodzak, PT

  • Physical Therapist
  • Marysville, PA
  • NPI 1497293617
  NPD

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1386882579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRENOBLE PL",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199712847",
            "telephone_number": "302-226-2691",
            "fax_number": "302-226-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GRENOBLE PL",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199712847",
            "telephone_number": "302-226-2691",
            "fax_number": "302-226-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "KNARR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PT/PRESIDENT",
        "authorized_official_telephone_number": "302-381-8348",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0000675",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.