Organization Active NPI

Elite Orthopedic and Sports Rehab, LLC

  • Physical Therapy Clinic/Center
  • North Andover, MA
National Provider Identifier
1639201379
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
12072 Issued in MA
Legal business name
ELITE ORTHOPEDIC AND SPORTS REHAB, LLC
Practice address
595 Chickering Rd
North Andover, MA 01845-2830
Phone
(978) 975-3800
Fax
(978) 975-3855
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Laurie J. Matthews, PT
Title
Owner
Phone
(978) 975-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 12072 MA Primary

Addresses

Primary practice location

595 Chickering Rd
North Andover, MA 01845-2830

Mailing address

595 Chickering Rd
North Andover, MA 01845-2830
Phone (978) 975-3800

National Provider Directory

National Provider Directory

Locations

595 Chickering Rd
North Andover, MA 01845
Phone (603) 427-8066

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1639201379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHICKERING RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452830",
            "telephone_number": "978-975-3800",
            "fax_number": "978-975-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHICKERING RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452830",
            "telephone_number": "978-975-3800",
            "fax_number": "978-975-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ORTHOPEDIC AND SPORTS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-975-3800",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "12072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.