Organization Active NPI

Elite PT LLC

  • Orthopedic Physical Therapist
  • Wilmington, DE
National Provider Identifier
1811482599
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
J1-0000675 Issued in DE
Legal business name
ELITE PT LLC
Practice address
4825 Kennett Pike
Wilmington, DE 19807-1813
Phone
(302) 477-1536
Fax
(302) 477-1564
NPI assigned
Jun 26, 2018
Last updated
Jun 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
John Franklin Knarr, PTNPI 1871665117
Title
President
Phone
(302) 381-8348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X J1-0000675 DE
Orthopedic Physical Therapist 2251X0800X J1-0000675 DE Primary

Addresses

Primary practice location

4825 Kennett Pike
Wilmington, DE 19807-1813

Mailing address

4825 Kennett Pike
Wilmington, DE 19807-1813
Phone (302) 477-1536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071001000219 DE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315032711 Receives reassigned benefits from 26 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, DE; Middletown, DE; Hockessin, DE

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

34466 Skyler Dr
Lewes, DE 19958
Phone (302) 381-8348

4825 Kennett Pike
Wilmington, DE 19807
Phone (302) 477-1536

910 Foulk Rd
Ste 100
Wilmington, DE 19803
Phone (302) 477-1536

2101 Dulaney Valley Rd
Lutherville, MD 21093
Phone (443) 901-1938

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1811482599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 KENNETT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198071813",
            "telephone_number": "302-477-1536",
            "fax_number": "302-477-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 KENNETT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198071813",
            "telephone_number": "302-477-1536",
            "fax_number": "302-477-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "KNARR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-381-8348",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "DE",
            "license": "J1-0000675",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DE",
            "license": "J1-0000675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.