Organization Active NPI

Elite Rehab & Fitness, LLC

  • Physical Therapy Clinic/Center
  • Ironton, OH
National Provider Identifier
1477636041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELITE REHAB & FITNESS, LLC
Practice address
202 Park Ave
Suite a
Ironton, OH 45638-1548
Phone
(740) 532-0770
Fax
(740) 532-0708
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Neil Alan Evans, DPTNPI 1356400592
Title
Co- Owner
Phone
(740) 550-0672

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

202 Park Ave
Suite a
Ironton, OH 45638-1548

Mailing address

PO Box 107
Ironton, OH 45638-0107
Phone (740) 532-0770

National Provider Directory

National Provider Directory

Locations

202 Park Ave
Ste A
Ironton, OH 45638
Phone (740) 532-0770

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477636041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456380107",
            "telephone_number": "740-532-0770",
            "fax_number": "740-532-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PARK AVE",
            "address_2": "SUITE A",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381548",
            "telephone_number": "740-532-0770",
            "fax_number": "740-532-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHAB & FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CO- OWNER",
        "authorized_official_telephone_number": "740-550-0672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.