NPIMap

Organization Active NPI

Elite Health Systems Inc

  • Physical Therapist
  • Bettendorf, IA
National Provider Identifier
1942536768
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELITE HEALTH SYSTEMS INC
Practice address
2550 Middle Rd Ste 400
Bettendorf, IA 52722-3288
Phone
(563) 359-4203
Fax
(563) 345-4099
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Dr. Jay C Johannsen, DC
Title
Owner
Phone
(563) 359-4203

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X IA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X IA Primary

Addresses

Primary practice location

2550 Middle Rd Ste 400
Bettendorf, IA 52722-3288

Mailing address

2550 Middle Rd Ste 400
Bettendorf, IA 52722-3288
Phone (563) 359-4203

National Provider Directory

National Provider Directory
Tax ID family
Dr J Chiropractic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2393 Cumberland Square Dr
Bettendorf, IA 52722
Phone (309) 752-3118

2550 Middle Rd
Ste 400
Bettendorf, IA 52722
Phone (563) 359-4203

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1942536768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD STE 400",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223288",
            "telephone_number": "563-359-4203",
            "fax_number": "563-345-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD STE 400",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223288",
            "telephone_number": "563-359-4203",
            "fax_number": "563-345-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "JOHANNSEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-359-4203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.