Elite Physical Therapy and Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE PHYSICAL THERAPY AND WELLNESS

Practice address

2086 S Main St
Grove, OK 74344-5325

Phone

(918) 948-2758

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Stacy Renee Clark, RPTNPI 1134375314

Title

Physical Therapist

Phone

(918) 231-0735

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Stacy Clark

  • Physical Therapist
  • Omaha, NE
  • NPI 1134375314
  NPD Authorized official
• Deborah Stauss, LMT

  • Massage Therapist
  • Grove, OK
  • NPI 1326604935

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1841079142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 LAKEWOOD DR",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445325",
            "telephone_number": "918-948-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "918-231-0735",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Denise Duncan, DPH
• Shelby Lynn Dunstan
• Denise Durbin
• Rebecca Malinda Earp, MASTERS OF EDUCATION
• Todd Allen East, DC
• Shawna S Ellick, BS
• Toni Lucas Elliott, LCSW
• Margaret P Ellis, MD
• Eyecare of Grand Lake PLLC
• Melissa Lynne Falley, BACHELOR OF SCIENCE

• Physical Therapist in Grove, OK
• Providers in Grove, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.