NPIMap

Organization Active NPI

Elite Therapy Solutions, LLC

Doing business as Precision Rehabilitation

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1902177678
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08138R Issued in LA
Legal business name
ELITE THERAPY SOLUTIONS, LLC
Doing business as
Precision Rehabilitation
Practice address
3524 Kaliste Saloom Rd
BLDG. 2, Ste. 205
Lafayette, LA 70508-7638
Phone
(337) 993-2766
Fax
(337) 993-2764
NPI assigned
Jan 26, 2012
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Matthew L. Walker, MPTNPI 1487848610
Title
Co-Owner
Phone
(337) 501-6264

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 08138R LA Primary

Addresses

Primary practice location

3524 Kaliste Saloom Rd
BLDG. 2, Ste. 205
Lafayette, LA 70508-7638

Mailing address

3524 Kaliste Saloom Rd
BLDG. 2, Ste. 205
Lafayette, LA 70508-7638
Phone (337) 993-2766

Other names 1

  • Precision Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170320001031 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921383688 Receives reassigned benefits from 14 practitioners
Practice locations: Lafayette, LA; Broussard, LA; Abbeville, LA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Elite Therapy Solutions LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3013 Veterans Memorial Dr
Ste 104
Abbeville, LA 70510
Phone (337) 385-5482

3524 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 993-2766

3524 Kaliste Saloom Rd
Ste 205
Lafayette, LA 70508
Phone (337) 993-2766

401 N College Rd
Ste 1B
Lafayette, LA 70506
Phone (337) 993-2766

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1902177678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 KALISTE SALOOM RD",
            "address_2": "BLDG. 2, STE. 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087638",
            "telephone_number": "337-993-2766",
            "fax_number": "337-993-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 KALISTE SALOOM RD",
            "address_2": "BLDG. 2, STE. 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087638",
            "telephone_number": "337-993-2766",
            "fax_number": "337-993-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "337-501-6264",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08138R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.