NPIMap

Organization Active NPI

Elite Physical Therapy & Sports Performance Bluffton

Doing business as Elite Physcial Therapy & Sports Performance

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1821683517
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELITE PHYSICAL THERAPY & SPORTS PERFORMANCE BLUFFTON
Doing business as
Elite Physcial Therapy & Sports Performance
Practice address
38 Sheridan Park Cir Ste E
Bluffton, SC 29910-7023
Phone
(843) 705-9480
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Stephen W Crapps, PTNPI 1710921010
Title
Owner
Phone
(843) 705-9480

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)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

38 Sheridan Park Cir Ste E
Bluffton, SC 29910-7023

Mailing address

4 Okatie Center Blvd S Ste 101
Bluffton, SC 29909-7530
Phone (843) 705-9480

Other names 1

  • Elite Physcial Therapy & Sports Performance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210322000435 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6103233036 Receives reassigned benefits from 2 practitioners
Practice locations: Bluffton, SC

National Provider Directory

National Provider Directory

Locations

4 Okatie Center Blvd S
Ste 101
Okatie, SC 29909
Phone (501) 348-3776

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1821683517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OKATIE CENTER BLVD S STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097530",
            "telephone_number": "843-705-9480",
            "fax_number": "843-705-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SHERIDAN PARK CIR STE E",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107023",
            "telephone_number": "843-705-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY & SPORTS PERFORMANCE BLUFFTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "CRAPPS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-705-9480",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Physcial Therapy & Sports Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.