NPIMap

Organization Active NPI

Elite Physical Therapy & Wellness Center, LLC

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1871647024
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2705 Issued in DC
Legal business name
ELITE PHYSICAL THERAPY & WELLNESS CENTER, LLC
Practice address
2233 Wisconsin Ave NW
Suite 311
Washington, DC 20007-4104
Phone
(202) 965-8901
Fax
(202) 965-8903
NPI assigned
Jan 23, 2007
Last updated
Aug 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Ms. Terry Ann Sneed, P.T., A.T.C.NPI 1437256500
Title
Physical Therapist- Director
Phone
(202) 965-8901

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2705 DC Primary
Athletic Trainer 2255A2300X 119202562 DC

Addresses

Primary practice location

2233 Wisconsin Ave NW
Suite 311
Washington, DC 20007-4104

Mailing address

2233 Wisconsin Ave NW
Suite 311
Washington, DC 20007-4104
Phone (202) 965-8901

Other identifiers 1

IdentifierTypeStateIssuer
K3250001OtherDCBCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050906000462 DC Part B Supplier - Clinic/Group Practice 9638101108 Receives reassigned benefits from 3 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

2121 Wisconsin Ave NW
Ste 260
Washington, DC 20007
Phone (202) 965-8901

2233 Wisconsin Ave NW
Ste 300
Washington, DC 20007
Phone (202) 295-0544

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1871647024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WISCONSIN AVE NW",
            "address_2": "SUITE 311",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074104",
            "telephone_number": "202-965-8901",
            "fax_number": "202-965-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WISCONSIN AVE NW",
            "address_2": "SUITE 311",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074104",
            "telephone_number": "202-965-8901",
            "fax_number": "202-965-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST- DIRECTOR",
        "authorized_official_telephone_number": "202-965-8901",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T., A.T.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "2705",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "DC",
            "license": "119202562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "K3250001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.