Elite Performance Clinic Physical Therapy a Professional Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE PERFORMANCE CLINIC PHYSICAL THERAPY A PROFESSIONAL CORPORATION

Practice address

15125 Ventura Blvd Ste 200
Sherman Oaks, CA 91403-3306

Phone

(310) 497-3078

NPI assigned

Dec 24, 2025

Organization subpart

No

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

Authorized official

Name

Chany Baron

Title

Billing Manager

Phone

(310) 497-3078

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Jeffery K Bradley, MPT, ATC

  • Athletic Trainer
  • Beverly Hills, CA
  • NPI 1073695771

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Kevin Soleimani

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1255014718
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1629934419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD STE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "310-497-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD STE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "310-497-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE CLINIC PHYSICAL THERAPY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-24",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "CHANY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-497-3078"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Husam Elias, MD
• Amelita Elicano, M.A., M.F.T.
• Elite Behavioral Therapies, Inc.
• Elite Medical Group Inc
• Elite Medical Services Group Apc
• Elite Wound Care & Medical Services, Inc
• Elizabeth Bartholomew Licensed Clinical Social Worker, Inc.
• Julieann Elkins, MPT
• Elliot M. Hirsch, M.D., Inc.
• Katie Elliott, BCBA

• Physical Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.