Elite Physical Therapy Group, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE PHYSICAL THERAPY GROUP, INC

Practice address

3446 Masonic Dr
Alexandria, LA 71301-3615

Phone

(318) 443-3311

Fax

(318) 443-0023

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Bart Jones, PT

Title

President

Phone

(318) 443-3311

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1710939947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013615",
            "telephone_number": "318-443-3311",
            "fax_number": "318-443-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013615",
            "telephone_number": "318-443-3311",
            "fax_number": "318-443-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-443-3311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA7889",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• De'Andre Eggins
• Kerry F Elie
• Latrice Elie, LPN
• Elite Mental Health Services
• Elite Physical Therapy Group II LLC
• Brian Lane Elkins, MD
• Gretchel Ellis, GRETCHEL ELLIS
• Peggy B Ellis, CRNA
• Shonda Laverne Ellis
• William M Ellis III, D.O.

• Physical Therapist in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.