Elliott Physical Therapy Inc

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT32490 Issued in CA

Legal business name

ELLIOTT PHYSICAL THERAPY INC

Practice address

518 Vanderbilt Dr
Placentia, CA 92870-5118

Phone

(714) 404-9474

NPI assigned

Sep 24, 2012

Last updated

Sep 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colleen Rose Elliott, PT, DPTNPI 1710215777

Title

President/Physical Therapist

Phone

(714) 404-9474

Specialties & licenses 1

Addresses

Locations

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.

• Colleen Rose Elliott, PT

  • Orthopedic Physical Therapist
  • Costa Mesa, CA
  • NPI 1710215777
  NPD Authorized official

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1477804052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 VANDERBILT DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705118",
            "telephone_number": "714-404-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 VANDERBILT DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705118",
            "telephone_number": "714-404-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "714-404-9474",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT32490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Michael Egerer, D.C.
• Linda C Ehlen, PT
• Uchenna Eke, NP
• Isabella Grace Ekizian
• Elearning Waves, LLC (Assisting Hands Yorba Linda)
• Mark L Ellis, D.D.S.
• Stacey Dee Ellison, D.C.
• Nasym Emami
• Melanie Agnes Encabo, FNP
• Cailee Ennis

• Orthopedic Physical Therapist in Placentia, CA
• Providers in Placentia, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.