Elite Physical Medicine PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELITE PHYSICAL MEDICINE PLLC

Practice address

3535 Victory Group Way Ste 505
Frisco, TX 75034-6732

Phone

(832) 622-6031

NPI assigned

Oct 29, 2019

Organization subpart

No

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

Authorized official

Name

Jacob Stutz

Title

Administrator

Phone

(832) 622-6031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1821632241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY STE 505",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY STE 505",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346732",
            "telephone_number": "832-622-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "STUTZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-622-6031"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Diagnostic Imaging LLC
• Elite Eyes PLLC
• Elite Family Health of Plano, PLLC
• Elite Gynecology and Med Spa
• Elite Medical & Mobility, LLC
• Elite Urgent Care PLLC
• Elitecare Medical Transportation LLC
• Elizabeth Blair Goodall DDS PLLC
• Sydney Rae Ellason
• Swati Ellendula, M.D.

• General Practice Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.