ELITE THERAPY, LLC (NPI# 1891218202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891218202 |
| Entity Type | Organization |
| Organization Name | ELITE THERAPY, LLC |
| Other Organization Name | ELITE THERAPY ASSOCIATES |
| Practice Address |
1505 Renaissance Blvd Edmond OK 73013-3018 |
| Practice Telephone | 4058508497 |
| Practice Fax Number | 4053000643 |
| Mailing Telephone | 4058508497 |
| Mailing Fax Number | 4053000643 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-08-08 |
| Authorized Official Name | SHEA NICOLE PARRY (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4058508497 |
| Authorized Official Credential | M.ED., M.S. CCC- |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | 2927 | OK | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100649180A | 05 | |
| DIANA DORETY MS CCC-SLP | 1043580830 | 01 | |
| OK | SHEA PARRY M.ED., M.S. CCC-SLP | 12040663 | 01 |
| JOAN WIGGINS OTR | 1326194432 | 01 | |
| SHEA PARRY M.ED., M.S. CCC-SLP | 1366694663 | 01 | |
| OK | 2004714030A | 05 | |
| OK | 200006740C | 05 |
| Other Name | Type Code |
|---|---|
| Elite Therapy Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700360419 | Elite Therapy, LLC | Clinic/Center | 24310 W 109th Ter, Olathe, KS 66061-8852 | 2018-09-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Elite Therapy, LLC | 200 Royal Orleans Court, Dothan, AL 36305 |
| Street Address |
1505 RENAISSANCE BLVD |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536588 | Benjamin Bradley Emerson | Speech-Language Pathologist | 1101 Red Bud Ln, Edmond, OK 73034-8040 | 2020-07-30 |
| 1073144663 | Kristin Mahathey | Speech-Language Pathologist | 801 Red Oak Ter, Edmond, OK 73003-5021 | 2020-02-01 |
| 1376181180 | Kristin Lejeune | Speech-Language Pathologist | 3308 Dogwood Ln, Edmond, OK 73034-2328 | 2019-12-12 |
| 1467910810 | Shelbi Parish | Speech-Language Pathologist | 1712 S Boulevard, Edmond, OK 73013-5144 | 2019-03-05 |
| 1811452154 | Kimberly A Fox | Speech-Language Pathologist | 18512 Las Meninas Dr, Edmond, OK 73012-5513 | 2019-01-31 |
| 1629570833 | Amy Annette Elbow | Speech-Language Pathologist | 2624 Merlot Ct, Edmond, OK 73012-0930 | 2018-03-03 |
| 1588172597 | Tina Sabrina Deaton | Speech-Language Pathologist | 3916 Williams Dr, Edmond, OK 73034-4032 | 2018-01-12 |
| 1790290450 | Lacey Snow Anderson | Speech-Language Pathologist | 1901 W 15th St, Edmond, OK 73013-2689 | 2017-12-04 |
| 1205366390 | Cynthia Fallon Mccook | Speech-Language Pathologist | 204 N Clayton Rd, Edmond, OK 73034-7380 | 2017-06-13 |
| 1245771203 | Samantha Betchan | Speech-Language Pathologist | 2617 Riven Rock Rd, Edmond, OK 73034-0001 | 2017-03-10 |
| Find all providers in EDMOND | ||||
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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.