Active NPI
Elite Care Physical Therapy
- Physical Therapy Clinic/Center
- Deale, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 23487
- Legal business name
- ELITE CARE PHYSICAL THERAPY
- Practice address
- 5950 Deale Churchton Rd
Deale, MD 20751-9730 - Phone
- (410) 867-1517
- Fax
- (240) 244-0601
- NPI assigned
- Jun 24, 2014
- Last updated
- Aug 31, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rosalea Acap Knight, DPT, ATC, CKTP
- Title
- Owner
- Phone
- (410) 867-1517
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 23487 | MD | Primary |
Addresses
Primary practice location
5950 Deale Churchton Rd
Deale, MD 20751-9730
Mailing address
PO Box 355
Churchton, MD 20733-0355
Phone (410) 867-1517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188002100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5950 Deale Churchton Rd
Deale, MD 20751
Phone (410) 867-1517
5950 Deale Churchton Rd
Unit C
Deale, MD 20751
Phone (410) 867-1517
624 E Bay Front Rd
Deale, MD 20751
Phone (240) 320-5237
Practitioners & affiliated clinicians
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.
-
- Physical Therapist
- Deale, MD
- NPI 1659673010
-
- Physical Therapist
- Berlin, MD
- NPI 1487028437
-
- Physical Therapist
- Bowie, MD
- NPI 1942673363
-
- Physical Therapist
- Odenton, MD
- NPI 1285102558
-
- Physical Therapist
- Annapolis, MD
- NPI 1487089215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440979200000",
"number": "1811302292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 355",
"city": "CHURCHTON",
"state": "MD",
"postal_code": "207330355",
"telephone_number": "410-867-1517",
"fax_number": "240-244-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 DEALE CHURCHTON RD",
"city": "DEALE",
"state": "MD",
"postal_code": "207519730",
"telephone_number": "410-867-1517",
"fax_number": "240-244-0601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE CARE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-24",
"last_updated": "2015-08-31",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "ROSALEA",
"authorized_official_middle_name": "ACAP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-867-1517",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DPT, ATC, CKTP"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MD",
"license": "23487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188002100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.