Elite Physical Therapy and Wellness, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT4343 Issued in MS

Legal business name

ELITE PHYSICAL THERAPY AND WELLNESS, INC.

Practice address

135 7TH St
Decatur, MS 39327

Phone

(601) 635-4131

NPI assigned

Aug 28, 2016

Last updated

Mar 13, 2017By 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

Mr. Harold D Thompson III, DPTNPI 1659644037

Title

Physical Therapist

Phone

(601) 616-3331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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.

• Harold D Thompson

  • Physical Therapist
  • Philadelphia, MS
  • NPI 1659644037
  Medicare reassignment NPD Authorized official
• Morgan W Morris, PTA

  • Physical Therapy Assistant
  • Decatur, MS
  • NPI 1073853107
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1730635087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 194",
            "city": "DECATUR",
            "state": "MS",
            "postal_code": "39327",
            "telephone_number": "601-635-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 7TH ST",
            "city": "DECATUR",
            "state": "MS",
            "postal_code": "39327",
            "telephone_number": "601-635-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "601-616-3331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT4343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair A. Comans, FNP
• April Dade, DNP, PMHNP-BC
• Decatur Dental, LLC
• Decatur Drugs Inc (Wheeler Drug Store)
• Decatur Drugs Inc (Wheeler Drug Store LTC)
• Andrew Harris
• Sara Ratcliff Hayes, OTR/L
• Meagan Higginbotham, LPC
• Hopecrest Mental Health Services, LLC
• Derrick Wesley Jones, ATC

• Physical Therapy Clinic/Center in Decatur, MS
• Providers in Decatur, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.