Elmore Center for Physical Therapy and Lymphedema Services

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

P14582 Issued in NC

Legal business name

ELMORE CENTER FOR PHYSICAL THERAPY AND LYMPHEDEMA SERVICES

Practice address

7417 Knightdale Blvd
Suite#103
Knightdale, NC 27545-8824

Phone

(919) 217-2000

NPI assigned

Mar 8, 2016

Last updated

Jul 13, 2016By 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

Dr. Brooke Miranda Elmore, DPTNPI 1225423825

Title

Owner

Phone

(919) 885-9135

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Brooke Miranda Elmore, PT,DPT,CLT

  • Physical Therapist
  • Knightdale, NC
  • NPI 1225423825
  Authorized official Same address or phone

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1780045419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FLOWERING APRICOT DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036362",
            "telephone_number": "919-885-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 KNIGHTDALE BLVD",
            "address_2": "SUITE#103",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458824",
            "telephone_number": "919-217-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMORE CENTER FOR PHYSICAL THERAPY AND LYMPHEDEMA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-885-9135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P14582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacrysha Foreman Edmundson, RN
• Emily Edwards, LCSW
• Elevate Medical Supplies LLC
• Elite Therapeutic Services
• Christopher Ellenberger, DPT
• Britne Alicia Elmore, NP
• Brooke Miranda Elmore, PT,DPT,CLT
• Embolden Counseling
• Elizabeth Enoh, PT
• Enrichment Behavioral Care Services, LLC

• Physical Therapy Clinic/Center in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.