Active NPI
Elite 24 Health Group
- Massage Therapist
- Ft. Smith, AR
National Provider Identifier
1508001488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- ELITE 24 HEALTH GROUP
- Doing business as
- Elite 24 Health Club/Chiropractic Care
- Practice address
- 1200 S. Waldron Rd.
Suite 155
Ft. Smith, AR 72903 - Phone
- (479) 452-0031
- Fax
- (479) 452-0034
- NPI assigned
- Dec 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sherry Ann Ezell, LMT, NMT, MMP
- Title
- Clinic Owner
- Phone
- (479) 452-0031
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
1200 S. Waldron Rd.
Suite 155
Ft. Smith, AR 72903
Mailing address
P.O. Box 10585
Ft. Smith, AR 72917
Phone (479) 452-0031
Other names 1
- Elite 24 Health Club/Chiropractic Care
National Provider Directory
National Provider DirectoryLocations
1200 S Waldron Rd
Ste 155
Fort Smith, AR 72903
Phone (479) 452-0031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240876800000",
"number": "1508001488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 10585",
"city": "FT. SMITH",
"state": "AR",
"postal_code": "72917",
"telephone_number": "479-452-0031",
"fax_number": "479-452-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S. WALDRON RD.",
"address_2": "SUITE 155",
"city": "FT. SMITH",
"state": "AR",
"postal_code": "72903",
"telephone_number": "479-452-0031",
"fax_number": "479-452-0034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE 24 HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-08",
"last_updated": "2009-04-28",
"status": "A",
"authorized_official_last_name": "EZELL",
"authorized_official_first_name": "SHERRY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CLINIC OWNER",
"authorized_official_telephone_number": "479-452-0031",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMT, NMT, MMP"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite 24 Health Club/Chiropractic Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ft. Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.