Active NPI
Elite Physical Therapy & Wellness, LLC
- Physical Therapist
- Scottsbluff, NE
National Provider Identifier
1609149483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2843
- Legal business name
- ELITE PHYSICAL THERAPY & WELLNESS, LLC
- Practice address
- 214 W 27TH St
Scottsbluff, NE 69361-4306 - Phone
- (308) 633-2900
- Fax
- (308) 575-0334
- NPI assigned
- Feb 9, 2012
- 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
- Dr. Katie Hays, DPT
- Title
- Owner
- Phone
- (308) 633-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2843 | NE | Primary |
Addresses
Primary practice location
214 W 27TH St
Scottsbluff, NE 69361-4306
Mailing address
214 W 27TH St
Scottsbluff, NE 69361-4306
Phone (308) 633-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026150800 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1320 10th St
Ste 1
Gering, NE 69341
1270 10th St
Ste 101
Gering, NE 69341
Phone (308) 633-4440
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Scottsbluff, NE
- NPI 1093018517
-
- Orthopedic Physical Therapist
- Scottsbluff, NE
- NPI 1205888740
-
- Chiropractor
- Scottsbluff, NE
- NPI 1992466189
-
- Physical Medicine & Rehabilitation Physician
- Gering, NE
- NPI 1649838798
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329696000000",
"number": "1609149483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W 27TH ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614306",
"telephone_number": "308-633-2900",
"fax_number": "308-575-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W 27TH ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614306",
"telephone_number": "308-633-2900",
"fax_number": "308-575-0334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE PHYSICAL THERAPY & WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-20",
"status": "A",
"authorized_official_last_name": "HAYS",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "308-633-2900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NE",
"license": "2843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026150800",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.