Elite Care Physical Therapy PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA1414200 Issued in NJ

Legal business name

ELITE CARE PHYSICAL THERAPY PC

Practice address

10 Summit Ave Ste 6
Berkeley Heights, NJ 07922

Phone

(908) 603-9605

Fax

(908) 934-9389

NPI assigned

Aug 15, 2017

Last updated

Jul 13, 2018By 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

Russell Altman, PT, DPTNPI 1538496302

Title

Physical Therapist/ Owner

Phone

(908) 603-9605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

• Russell Altman, PT, DPT

  • Physical Therapist
  • Berkeley Heights, NJ
  • NPI 1538496302
  Medicare reassignment NPD Authorized official
• Amelia M Biedrzycki

  • Physical Therapist
  • Berkeley Heights, NJ
  • NPI 1205790722
  NPD (past)

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1750807574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HIGHLAND CIR",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222129",
            "telephone_number": "908-603-9605",
            "fax_number": "908-934-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUMMIT AVE STE 6",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "07922",
            "telephone_number": "908-603-9605",
            "fax_number": "908-934-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "908-603-9605",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA1414200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward M Burstein DC PA (Berkeley Heights Chiropractic Center)
• Gwen Egloff-Du, PHARMD, BCPS
• Ghitta Eibschutz, MD
• Eleanor Eick, LCSW
• Slade Scott Eigenmann
• Michele Elkins, M.D
• David Elson, MD
• Emo Medical Care LLC (eMedical Offices)
• Kari Endick
• Joshua Everett

• Orthopedic Physical Therapist in Berkeley Heights, NJ
• Providers in Berkeley Heights, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.