NPIMap

Organization Active NPI

Elite Performance Concepts, LLC

  • Clinic/Center
  • Charleston, SC
National Provider Identifier
1548939945
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELITE PERFORMANCE CONCEPTS, LLC
Practice address
1640 Ashley Hall Rd
Charleston, SC 29407-3824
Phone
(774) 721-6252
NPI assigned
Sep 9, 2021
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Nicole Sawyer Ramsey, OTR/L
Title
Co-Owner
Phone
(774) 721-6252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1640 Ashley Hall Rd
Charleston, SC 29407-3824

Mailing address

614 Wateree Dr
Charleston, SC 29407-6635
Phone (774) 721-6252

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eliteperformanceconcepts@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1548939945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 WATEREE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076635",
            "telephone_number": "774-721-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ASHLEY HALL RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073824",
            "telephone_number": "774-721-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "SAWYER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "774-721-6252",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eliteperformanceconcepts@gmail.com",
            "affiliation": "N",
            "address_1": "1640 Ashley Hall Rd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294073824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.