Elite Core Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE CORE THERAPY, LLC

Practice address

13595 SW 134TH Ave Ste 107
Miami, FL 33186-4579

Phone

(786) 592-1190

Fax

(786) 732-2955

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Alphonso Elmore, DPTNPI 1457833964

Title

MGRM/ Ceo

Phone

(803) 378-6295

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon A Elmore, DPT

  • Physical Therapist
  • Miami, FL
  • NPI 1457833964
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1396395679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13595 SW 134TH AVE STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864579",
            "telephone_number": "786-592-1190",
            "fax_number": "786-732-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13595 SW 134TH AVE STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864579",
            "telephone_number": "786-592-1190",
            "fax_number": "786-732-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CORE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ALPHONSO",
        "authorized_official_title_or_position": "MGRM/ CEO",
        "authorized_official_telephone_number": "803-378-6295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.