Elite Physical Medicine and Rehabilitation LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ELITE PHYSICAL MEDICINE AND REHABILITATION LLC

Practice address

124 Cross County PLZ
Batesville, IN 47006-8833

Phone

(812) 934-6282

Fax

(812) 933-0720

NPI assigned

Mar 3, 2022

Last updated

Jan 27, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ELITE PHYSICAL MEDICINE AND REHABILITATION LLCAs reported in NPPES

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

Authorized official

Name

Benjamin Kasle

Title

Operating Partner

Phone

(812) 539-2900

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Elite Physical Medicine and Rehabilitation LLC

  • Interventional Pain Medicine Physician
  • Lawrenceburg, IN
  • NPI 1356968234

  5092135962

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Elite Physical Medicine and Rehabilitation LLC

  • Interventional Pain Medicine Physician
  • Lawrenceburg, IN
  • NPI 1356968234

  O20201014001348

  Same enrollment

Tax ID family

Elite Physical Medicine and Rehabilitation LLC2 organizations share this tax ID, including this one

Part of

Elite Physical Medicine and Rehabilitation LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elite Physical Medicine and Rehabilitation LLC

  • Interventional Pain Medicine Physician
  • Lawrenceburg, IN
  • NPI 1356968234
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Elite Physical Medicine and Rehabilitation LLC

  • Interventional Pain Medicine Physician
  • Lawrenceburg, IN
  • NPI 1356968234
  NPPES parent name

Practitioners 7

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.

• Christopher C Ault, DC

  • Chiropractor
  • Batesville, IN
  • NPI 1801887138
  NPD
• Lacy Enneking, NP

  • Nurse Practitioner
  • Batesville, IN
  • NPI 1003578170
  NPD
• Craig W George, DC

  • Chiropractor
  • Batesville, IN
  • NPI 1134219652
  NPD
• Nicholas John Hoyer, D.C.

  • Chiropractor
  • Lawrenceburg, IN
  • NPI 1659629889
  NPD
• Krisha Leni Robbins, APRN

  • Nurse Practitioner
  • Lawrenceburg, IN
  • NPI 1023515681
  NPD
• Scott Lynn Shelby, D.C.

  • Chiropractor
  • Lawrenceburg, IN
  • NPI 1396889788
  NPD
• Michael Edward Teifke, D.C.

  • Chiropractor
  • Lawrenceburg, IN
  • NPI 1801838743
  NPD

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1578210233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W EADS PKWY STE 320",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251374",
            "telephone_number": "812-539-2900",
            "fax_number": "812-539-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CROSS COUNTY PLZ",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470068833",
            "telephone_number": "812-934-6282",
            "fax_number": "812-933-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL MEDICINE AND REHABILITATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE PHYSICAL MEDICINE AND REHABILITATION LLC",
        "enumeration_date": "2022-03-03",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "KASLE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OPERATING PARTNER",
        "authorized_official_telephone_number": "812-539-2900"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Mae Eckstein, PA-C
• John Paul Ehrman
• Emily Einhaus, BCBA
• Kayla Ann Einhaus, CCC-SLP
• Shelly Eisert, FNP
• Katherine M Enneking, MPT
• Lacy Enneking, NP
• Matthew Leon Enneking, D.C.
• Kelli Ertel
• Ew Hanson, LLC

• Interventional Pain Medicine Physician in Batesville, IN
• Providers in Batesville, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.