NPIMap

Organization Active NPI

Elite Wellness and Rehab Services LLC

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1790935401
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20488 Issued in FL
Legal business name
ELITE WELLNESS AND REHAB SERVICES LLC
Practice address
7135 NW 11TH PL
Suite B3
Gainesville, FL 32605-3143
Phone
(352) 331-9356
Fax
(352) 331-9357
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Kate M Hunt, PT
Title
President
Phone
(352) 331-9356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT20488 FL Primary

Addresses

Primary practice location

7135 NW 11TH PL
Suite B3
Gainesville, FL 32605-3143

Mailing address

7135 NW 11TH PL
Suite B3
Gainesville, FL 32605-3143
Phone (352) 331-9356

Other identifiers 1

IdentifierTypeStateIssuer
BP893AOtherFLPTAN

Other names 1

  • The Movement and Balance Center Doing business as

National Provider Directory

National Provider Directory

Locations

2625 NW 77th Blvd
Gainesville, FL 32606
Phone (352) 331-9356

7135 NW 11th Pl
#B3
Gainesville, FL 32605
Phone (352) 331-9356

119 N Broad St
Thomasville, GA 31792
Phone (229) 228-6792

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1790935401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 NW 11TH PL",
            "address_2": "SUITE B3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053143",
            "telephone_number": "352-331-9356",
            "fax_number": "352-331-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 NW 11TH PL",
            "address_2": "SUITE B3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053143",
            "telephone_number": "352-331-9356",
            "fax_number": "352-331-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WELLNESS AND REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-331-9356",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BP893A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Movement and Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.