Elite Rehab and Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELITE REHAB AND PERFORMANCE

Practice address

3025 NC Highway 24
Unit 3
Newport, NC 28570

Phone

(252) 222-0424

NPI assigned

Aug 23, 2024

Last updated

Aug 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pauline Shiver, PT, DPTNPI 1598858227

Title

Owner and Ceo

Phone

(404) 229-9118

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Pauline Shiver, PT

  • Physical Therapist
  • Morehead City, NC
  • NPI 1598858227
  NPD Authorized official
• Hailey Kristin Humphrey, PT, DPT

  • Physical Therapist
  • Newport, NC
  • NPI 1518791953
  NPD

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1992538904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 NC HIGHWAY 24",
            "address_2": "UNIT 3",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "28570",
            "telephone_number": "252-222-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 NC HIGHWAY 24",
            "address_2": "UNIT 3",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "28570",
            "telephone_number": "252-222-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHAB AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIVER",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "404-229-9118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Ann Devlin, BCBA
• Deborah Ducharme, M.S.; BCBA, LBA
• Brandon Dyer, M.A., L.P.C.
• Easterm Dermatology, PA
• Elizabeth Anne Ebert, LPC
• Bryttany Fargnoli
• Cristal Paule Gales
• Shelia C. Garner Link, MS RD LDN CDE
• Leah Gore, OTR/L
• Laura Krouse Gould, M.ED. CCC-SLP

• Physical Therapy Clinic/Center in Newport, NC
• Providers in Newport, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.