Organization Active NPI

Elite Physical Therapy, Inc.

  • Physical Therapist
  • Warwick, RI
National Provider Identifier
1881093557
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02710 Issued in RI
Legal business name
ELITE PHYSICAL THERAPY, INC.
Practice address
535 Centerville Rd
Suite 101
Warwick, RI 02886-4486
Phone
(401) 737-6011
Fax
(401) 737-4811
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Michelle Durette
Title
Income Manager
Phone
(401) 737-6011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 02710 RI Primary

Addresses

Primary practice location

535 Centerville Rd
Suite 101
Warwick, RI 02886-4486

Mailing address

535 Centerville Rd
Suite 101
Warwick, RI 02886-4486
Phone (401) 737-6011

National Provider Directory

National Provider Directory

Locations

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1881093557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864486",
            "telephone_number": "401-737-6011",
            "fax_number": "401-737-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864486",
            "telephone_number": "401-737-6011",
            "fax_number": "401-737-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "DURETTE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "INCOME MANAGER",
        "authorized_official_telephone_number": "401-737-6011"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "02710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.