Elite Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03113 Issued in IA

Legal business name

ELITE PHYSICAL THERAPY

Practice address

5721 Merle Hay Rd
Suite 14a
Johnston, IA 50131-1261

Phone

(515) 331-6508

Fax

(515) 331-6508

NPI assigned

Jul 7, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Joe J. Johns, PT

Title

Physical Therapist/Owner

Phone

(515) 331-6508

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1871909366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 MERLE HAY RD",
            "address_2": "SUITE 14A",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311261",
            "telephone_number": "515-331-6508",
            "fax_number": "515-331-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 MERLE HAY RD",
            "address_2": "SUITE 14A",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311261",
            "telephone_number": "515-331-6508",
            "fax_number": "515-331-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "515-331-6508",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kyle Matthew Ellensohn, D.C.
• Marquis R Ellis, OTR-L
• Connor George Elmitt, DDS
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• Penny Sue Emmons, COTA-L

• Physical Therapist in Johnston, IA
• Providers in Johnston, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.