Elite Massage

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CHR.0006922 Issued in CO

Legal business name

ELITE MASSAGE

Doing business as

Elite Medical Massage

Practice address

5950 S Willow Dr Ste 200
Greenwood Village, CO 80111-5144

Phone

(720) 515-8002

NPI assigned

Feb 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Clyde Johnson, DC MS-REHAB MS-NUTRI

Title

Owner

Phone

(720) 515-8002

Specialties & licenses 3

Addresses

Other names 1

• Elite Medical Massage Doing business as

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1639617533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115144",
            "telephone_number": "720-515-8002",
            "fax_number": "303-741-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115144",
            "telephone_number": "720-515-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-515-8002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC MS-REHAB MS-NUTRI"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Medical Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen L. Ekuban, RN
• Christina Lee Elder, RN
• Elevated Counseling & Wellness
• Elevation Audiology
• Elite Home Care, Inc
• Sarah Robinson Elkins, LCSW, MSW
• Madison Elledge, M.S. CCC-SLP
• Katrina Elliott, AGACNP
• Diane S Ellis, MD
• Amy Elsila, O.D.

• Health Service Clinic/Center in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.