Active NPI
Elite Physical Therapy Associates, LLC
Doing business as Elite Physical Therapy
- Physical Therapy Clinic/Center
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ELITE PHYSICAL THERAPY ASSOCIATES, LLC
- Doing business as
- Elite Physical Therapy
- Practice address
- 410 S Nova Rd Ste 2
Ormond Beach, FL 32174-0409 - Phone
- (386) 675-6114
- Fax
- (386) 968-1938
- NPI assigned
- Jun 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Sigafoos, PTA
- Title
- Owner
- Phone
- (386) 675-6114
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
410 S Nova Rd Ste 2
Ormond Beach, FL 32174-0409
Mailing address
410 S Nova Rd Ste 2
Ormond Beach, FL 32174-0409
Phone (386) 675-6114
Other names 1
- Elite Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
410 S Nova Rd
Ormond Beach, FL 32174
410 S Nova Rd
Ste 2
Ormond Beach, FL 32174
Phone (386) 675-6114
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Orthopedic Physical Therapist
- Ormond Beach, FL
- NPI 1215162961
-
- Physical Therapist
- Daytona Beach, FL
- NPI 1841200144
-
- Physical Therapy Assistant
- Ormond Beach, FL
- NPI 1235304908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1699095042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S NOVA RD STE 2",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321740409",
"telephone_number": "386-675-6114",
"fax_number": "386-968-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S NOVA RD STE 2",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321740409",
"telephone_number": "386-675-6114",
"fax_number": "386-968-1938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE PHYSICAL THERAPY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-08",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "SIGAFOOS",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-675-6114",
"authorized_official_credential": "PTA"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.