Organization Active NPI

Elite 24 Health Group

  • Massage Therapist
  • Ft. Smith, AR
National Provider Identifier
1508001488
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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

Updated by the provider on Apr 28, 2009

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.