Elite Physical Therapy, LLC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 4585 Issued in SC

Legal business name

ELITE PHYSICAL THERAPY, LLC.

Practice address

1910 Common Wealth LN
Anderson, SC 29621

Phone

(864) 233-5128

Fax

(864) 271-2599

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Paul Hecker, MSPT

Title

Owner/Physical Therapist

Phone

(864) 233-5128

Specialties & licenses 1

Addresses

Tax ID family

Elite Integrated Therapy Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Elite Integrated Therapy Centers, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1184673600
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hollie Marie McCulley, DPT

  • Physical Therapist
  • Anderson, SC
  • NPI 1235107764
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1619920931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 GROVE RD",
            "address_2": "SUITE 2A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054660",
            "telephone_number": "864-233-5128",
            "fax_number": "864-271-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 COMMON WEALTH LN",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29621",
            "telephone_number": "864-233-5128",
            "fax_number": "864-271-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "HECKER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "864-233-5128",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT 4585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Eitenmiller, PA-C
• Elco Enterprises LLC
• Electric City Eye Care
• Electric City Therapy LLC
• Electric City Wellness, LLC
• Roxanne Elkins
• Isaac Christopher Elledge
• Ellenburg Nursing Center, Inc.
• Anna Hendricks Eller, CCC-SLP
• Jessica Paige Elliott, LMSW

• Physical Therapist in Anderson, SC
• Providers in Anderson, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.