Organization Active NPI

Elite Therapy, LLC

  • Physical Therapy Clinic/Center
  • Olathe, KS
National Provider Identifier
1700360419
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELITE THERAPY, LLC
Practice address
24310 W 109TH Ter
Olathe, KS 66061-8852
Phone
(913) 706-0362
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Elizabeth C NewbyNPI 1871751123
Title
Owner
Phone
(913) 706-0362

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 1

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

Addresses

Primary practice location

24310 W 109TH Ter
Olathe, KS 66061-8852

Mailing address

24310 W 109TH Ter
Olathe, KS 66061-8852
Phone (913) 706-0362

Other names 2

  • Radius Therapy, LLC Doing business as
  • Elite Therapy, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@radiustherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181031000220 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042563538 Receives reassigned benefits from 12 practitioners
Practice locations: Olathe, KS
O20181106000694 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042563538 Receives reassigned benefits from 3 practitioners
Practice locations: Weatherby Lake, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1700360419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24310 W 109TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618852",
            "telephone_number": "913-706-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24310 W 109TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618852",
            "telephone_number": "913-706-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-706-0362"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@radiustherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24310 W 109th Ter",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660618852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Radius Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Elite Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.