Elite Therapy Associates Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELITE THERAPY ASSOCIATES INC

Practice address

313 Courthouse Rd
Princeton, WV 24740-2421

Phone

(304) 431-2480

NPI assigned

Aug 2, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Charles Frederick Dodson, PT

Title

Physical Therapist/Owner

Phone

(304) 920-8415

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1669804530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 WYNDALE DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247399057",
            "telephone_number": "304-920-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 COURTHOUSE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402421",
            "telephone_number": "304-431-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "304-920-8415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East River Anesthesiology Inc
• East River Primary Care, P.C.
• Kristy East, PRSS
• Brandi Edwards, PR
• Robert Wilson Edwards, M.D.
• Joe Carey Ellington Jr., PH.D., M.D.
• Christopher Matthew Elliott
• Marlena Elliott
• David T. Ellis, PSY.D.
• Heather Nicole Ellis

• Physical Therapy Clinic/Center in Princeton, WV
• Providers in Princeton, WV by specialty
• Physical Therapy Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.