ELITE PHYSICAL THERAPY AND WELLNESS CENTER, INC (NPI# 1639523798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639523798 |
| Entity Type | Organization |
| Organization Name | ELITE PHYSICAL THERAPY AND WELLNESS CENTER, INC |
| Practice Address |
1404 S Brundidge St Troy AL 36081-3129 |
| Practice Telephone | 3347700649 |
| Practice Fax Number | 3347700650 |
| Mailing Telephone | 3347700649 |
| Mailing Fax Number | 3347700650 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | SABRINA L. PENNINGTON (CEO/OWNER) |
| Authorized Official Telephone | 3347700649 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | PTH4195 | AL | Managed Care Organizations |
| Street Address |
1404 S BRUNDIDGE ST |
| City | TROY |
| State | AL |
| Zip Code | 36081-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457918237 | Cherita A Garcia | Physician Assistant | 1330 Us-231, Troy, AL 36081 | 2019-05-28 |
| 1275063596 | Brooks Anthony Taylor | Pharmacist | 1420 Us 231 South, Troy, AL 36081 | 2017-06-19 |
| 1801346283 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1147 Us Hwy 231 South, Troy, AL 36081 | 2016-10-10 |
| 1982055786 | Deandra Stewart | Chiropractor | 1340 Us-231 #3, Troy, AL 36081 | 2016-06-23 |
| 1184085953 | Emily Denise Jones | Physical Therapist | 1147 Highway 231 S Ste 9, Troy, AL 36081 | 2016-03-08 |
| 1265856769 | Mckenzie S Fallon | Counselor | 200 Cherry Street, Troy, AL 36081 | 2014-02-05 |
| 1457669871 | Troy Regional Physicians Inc | Clinic/Center | 1320 Highway 231 South, Suite 1, Troy, AL 36081 | 2010-09-20 |
| 1609199421 | Troy Health Services LLC | Obstetrics & Gynecology | 199 Scouting Circle, Troy, AL 36081 | 2010-03-08 |
| 1811134406 | Rachel Marie Green | Physical Therapist | 1118b Us Hwy 231, Troy, AL 36081 | 2009-01-19 |
| 1851541577 | Raoy D Lamb Od | Optometrist | 502 N Three Notch St, Troy, AL 36081 | 2008-09-30 |
| Find all providers in zip 36081 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932510005 | Robert J. Howard D.m.d., P.C. | Preferred Provider Organization | 705 S George Wallace Dr, Troy, AL 36081-3824 | 2014-05-12 |
| 1679738207 | Charles A Wood, M.d., P.c | Preferred Provider Organization | 1350 Highway 231 S, Suite A, Troy, AL 36081-3058 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114321643 | Marble City Pediatric Dentistry | Preferred Provider Organization | 1039 W Fort Williams St, Sylacauga, AL 35150-2301 | 2014-10-13 |
| 1093122533 | Noahs Ark Child & Family Treatment Center Inc | Preferred Provider Organization | 1728 5th Ave N, Birmingham, AL 35203-2023 | 2014-07-16 |
| 1407266729 | Precise Family Dental, LLC | Preferred Provider Organization | 23730 John T Reid Pkwy, Suite C, Scottsboro, AL 35768-2839 | 2014-05-08 |
| 1609209253 | Healthsource of Huntsville, LLC | Preferred Provider Organization | 975 Airport Rd Sw, Suite H, Huntsville, AL 35802-1392 | 2013-08-19 |
| 1003150160 | Imaging Network Group, Inc. | Preferred Provider Organization | 26831 Canal Rd Ste 7, Orange Beach, AL 36561-4125 | 2012-11-15 |
| 1083966386 | Kenneth W Chancey Dmd LLC | Preferred Provider Organization | 534 Boll Weevil Cir, Enterprise, AL 36330-4012 | 2012-10-10 |
| 1679839328 | Kenneth E. Pitts, Md, PC | Preferred Provider Organization | 185 Whitesport Dr Sw Ste 4, Huntsville, AL 35801-6487 | 2012-04-06 |
| 1952667123 | Jones Family Services | Preferred Provider Organization | 47 Queen Dr, Columbiana, AL 35051-4082 | 2012-04-02 |
| 1629354162 | Tammy Davis Parks | Preferred Provider Organization | 1820 3rd Ave N, Ste. 106, Bessemer, AL 35020-4903 | 2011-10-28 |
| 1386948040 | Bodalia Rehab Services, Inc | Preferred Provider Organization | 1721 N Bunner St, Foley, AL 36535-2229 | 2011-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.