Elite Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE SPORTS MEDICINE

Practice address

110 Main St
Wintersville, OH 43953-3734

Phone

(740) 266-4908

Fax

(740) 264-4376

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Jimmy D Kinemond

Title

Member

Phone

(740) 266-4908

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Charles Peter Capito, MD

  • Orthopaedic Surgery Physician
  • Weirton, WV
  • NPI 1770574212
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1447405428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "SUITE F",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522496",
            "telephone_number": "740-266-4908",
            "fax_number": "740-264-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533734",
            "telephone_number": "740-266-4908",
            "fax_number": "740-264-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "KINEMOND",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "740-266-4908"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007749",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Renea Dorsey, CRNP
• Ava Makenzie Dowdle
• Dr. John Shanley Chiropractic Physician LLC
• Dragonfly Infusion Services
• Elite Physical Therapy LLC
• Seung-Ha Eltringham, NP
• Empicare Inc.
• Endomyomassage LLC
• Sarah Elizabeth Ensinger, CRNP
• Erik Van Dijk

• Physical Therapist in Wintersville, OH
• Providers in Wintersville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.