Phenix City Elite Rehab Solutions LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHENIX CITY ELITE REHAB SOLUTIONS LLC

Practice address

5409 Summerville Rd Ste 3
Phenix City, AL 36867-7437

Phone

(334) 947-1327

Fax

(334) 408-2460

NPI assigned

Mar 25, 2021

Last updated

Apr 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Van Etten

Title

Dir of Credentialing

Phone

(334) 799-5853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Vick Blackwell, DPT

  • Physical Therapist
  • Auburn, AL
  • NPI 1952962839
  Medicare reassignment Care Compare group NPD
• Corey Eugene Claiborne, DPT

  • Physical Therapist
  • Phenix City, AL
  • NPI 1811701980
  Medicare reassignment Care Compare group NPD
• Randall Alan Ransom Jr., DPT

  • Physical Therapist
  • Auburn, AL
  • NPI 1306124151
  Medicare reassignment Care Compare group NPD
• Loren Grace Harris, DPT

  • Physical Therapist
  • Auburn, AL
  • NPI 1376367193
  Medicare reassignment NPD
• Jared Merrill Blair, DPT

  • Physical Therapist
  • Tallassee, AL
  • NPI 1689969701
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1669059788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 SUMMERVILLE RD STE 3",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677437",
            "telephone_number": "334-947-1327",
            "fax_number": "334-408-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 SUMMERVILLE RD STE 3",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677437",
            "telephone_number": "334-947-1327",
            "fax_number": "334-408-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENIX CITY ELITE REHAB SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "VAN ETTEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIR OF CREDENTIALING",
        "authorized_official_telephone_number": "334-799-5853"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice L Pfotenhauer, CRNA
• Crystal Pharis
• Phenix City
• Phenix City Convenient Care
• Phenix City Counseling Center LLC
• Phenix City Health Care, LLC
• Phenix City Joint & Rehab, LLC
• Phenix City Pain Management
• Phenix City Pulmonary & Critical Care, P.C.
• Phenix City Spine & Joint Ctr.

• Physical Therapist in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.