Elite Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4585 Issued in SC

Legal business name

ELITE PHYSICAL THERAPY, LLC

Practice address

30 Rushmore Dr
Greenville, SC 29615-1255

Phone

(864) 233-5128

Fax

(864) 271-2599

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Robert Paul Hecker, MSPT

Title

Owner / Physical Therapist

Phone

(864) 233-5128

Specialties & licenses 1

Addresses

Other names 1

• Elite Physical Therapy Doing business as

Locations

Practitioners 2

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

• Jackson Kisuke Kojima, PT, DPT

  • Physical Therapist
  • Greenville, SC
  • NPI 1598419848
  NPD (past)
• Jonathan Mitchell, PT, DPT

  • Physical Therapist
  • Greenville, SC
  • NPI 1902399827
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1841481736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 GROVE RD",
            "address_2": "SUITE 2A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054660",
            "telephone_number": "864-233-5128",
            "fax_number": "864-271-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RUSHMORE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151255",
            "telephone_number": "864-233-5128",
            "fax_number": "864-271-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "HECKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "864-233-5128",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT4585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elevated Chiropractic Solutions
• Victoria Helmus Elgin
• Elise M. Bailey
• Elite Integrated Therapy Centers, LLC
• Elite Medical Group, LLC
• Elite Spine Chiropractic LLC
• Elite Wellness PA
• Eliza Home Health
• Elizabeth Home Care Services LLC
• Johnathon Elkes

• Physical Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.