Organization Active NPI

Elite Performance & Physical Therapy

  • Physical Therapist
  • Gaithersburg, MD
National Provider Identifier
1770615510
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2014 Issued in MD
Legal business name
ELITE PERFORMANCE & PHYSICAL THERAPY
Practice address
60 Market St
Suite 206
Gaithersburg, MD 20878-6548
Phone
(301) 990-9599
Fax
(301) 990-2899
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Beth Beane
Title
Office Manager
Phone
(301) 990-9599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2014 MD Primary

Addresses

Primary practice location

60 Market St
Suite 206
Gaithersburg, MD 20878-6548

Mailing address

60 Market St
Suite 206
Gaithersburg, MD 20878-6548
Phone (301) 990-9599

National Provider Directory

National Provider Directory

Locations

60 Market St
Ste 206
Gaithersburg, MD 20878
Phone (301) 990-9599

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770615510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MARKET ST",
            "address_2": "SUITE 206",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786548",
            "telephone_number": "301-990-9599",
            "fax_number": "301-990-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MARKET ST",
            "address_2": "SUITE 206",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786548",
            "telephone_number": "301-990-9599",
            "fax_number": "301-990-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEANE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-990-9599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "2014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.