Elite Conceptions LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

ELITE CONCEPTIONS LLC

Practice address

8 Lakeview Dr
Fort Montgomery, NY 10922-0101

Phone

(929) 266-7711

NPI assigned

May 21, 2020

Last updated

Jun 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elita Spence-Bowles

Title

Owner

Phone

(202) 607-6738

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1871116160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "FORT MONTGOMERY",
            "state": "NY",
            "postal_code": "109220101",
            "telephone_number": "917-370-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAKEVIEW DR",
            "city": "FORT MONTGOMERY",
            "state": "NY",
            "postal_code": "109220101",
            "telephone_number": "929-266-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CONCEPTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "SPENCE-BOWLES",
        "authorized_official_first_name": "ELITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-607-6738"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@eliteconceptions",
            "affiliation": "N",
            "endpointDescription": "business ig account",
            "address_1": "8 Lakeview Dr",
            "city": "Fort Montgomery",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109220101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stefanie Brown, M.ED, LSSP, NCSP
• Mary Canausa, PTA
• Amy Kristine Harper, OTR/L
• Highlandfallsfortmontgomerycsd
• Jennifer Kimbiz, M.S., CCC-SLP
• Kay Kuhlman Kolditz, MS
• Lawney Physical Therapy PC

• Prosthetics Case Management in Fort Montgomery, NY
• Providers in Fort Montgomery, NY by specialty
• Prosthetics Case Management in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.