Elite Rehab Solutions Partners LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE REHAB SOLUTIONS PARTNERS LLC

Practice address

1120 Airport Dr Ste 103
Alexander City, AL 35010-3444

Phone

(256) 392-4896

Fax

(256) 392-4897

NPI assigned

Dec 20, 2019

Organization subpart

No

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

Authorized official

Name

Pamela P Van Etten

Title

Dir of Credentialing

Phone

(334) 799-5853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

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.

• Jared Merrill Blair, DPT

  • Physical Therapist
  • Tallassee, AL
  • NPI 1689969701
  Medicare reassignment Care Compare group NPD
• Justin B Crain, RPT

  • Physical Therapist
  • Tallassee, AL
  • NPI 1790721363
  Medicare reassignment Care Compare group NPD
• Harlan Scott Owenby, DPT

  • Physical Therapist
  • Tallassee, AL
  • NPI 1407220569
  Medicare reassignment Care Compare group NPD
• Mark Franklin Staples, PT

  • Physical Therapist
  • Alexander City, AL
  • NPI 1669479754
  Medicare reassignment Care Compare group NPD
• Randall Alan Ransom Jr., DPT

  • Physical Therapist
  • Auburn, AL
  • NPI 1306124151
  Medicare reassignment NPD

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1770121741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 AIRPORT DR STE 103",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103444",
            "telephone_number": "256-392-4896",
            "fax_number": "256-392-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 AIRPORT DR STE 103",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103444",
            "telephone_number": "256-392-4896",
            "fax_number": "256-392-4897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Mariarden Rd",
            "address_purpose": "LOCATION",
            "city": "Dadeville",
            "state": "AL",
            "postal_code": "368536202",
            "country_code": "US",
            "telephone_number": "256-825-2303",
            "fax_number": "877-682-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE REHAB SOLUTIONS PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "VAN ETTEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIR OF CREDENTIALING",
        "authorized_official_telephone_number": "334-799-5853"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lane Eden, CPNP-PC
• Edward P. Hill, IV, MD
• Robert Joseph Edwards, M.D.
• Katie Eison
• John Nichols Elgin, M.D.
• Chloe L. Elrod, MSN, FNP-C
• Evelyn Angels Health Care LLC
• Evelyns Angels Homehealth Care Services
• Eye Associates PC
• Faith Hospice, Inc. (Faith Hospice)

• Physical Therapist in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.