Elite Physique Performance Training, LLC.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

11423NMPFT Issued in NM

Legal business name

ELITE PHYSIQUE PERFORMANCE TRAINING, LLC.

Practice address

5740 Night Whisper Rd NW
Albuquerque, NM 87114-1575

Phone

(505) 377-7539

NPI assigned

Jul 9, 2014

Last updated

Jul 9, 2014By 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

Steven Newman

Title

President / Owner

Phone

(505) 377-7539

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1477969574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 CORTINA LOOP SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248933",
            "telephone_number": "505-377-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 NIGHT WHISPER RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141575",
            "telephone_number": "505-377-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSIQUE PERFORMANCE TRAINING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "505-377-7539"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NM",
            "license": "11423NMPFT",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "11423NMPFT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti Eliason, SLP
• Jamie Elifritz
• Robyn Jill Elison, OTR/L
• Elite Healthcare New Mexico
• Elite Ortho-Therapy and Sports Medicine, LLC
• Elite Prosthetics (Cpod)
• Elite Steps ABA LLC
• Elizabeth a. Romero, M.D., P.C.
• Elizabeth MD Facial Plastic Surgery LLC
• Timothea Elizalde, SW

• Rehabilitation Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Rehabilitation Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.