ELITE PHYSICAL THERAPY AND WELLNESS (NPI# 1912059700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912059700 |
| Entity Type | Organization |
| Organization Name | ELITE PHYSICAL THERAPY AND WELLNESS |
| Other Organization Name | JACOB ELITE PHYSICAL THERAPY |
| Practice Address |
4053 S Lapeer Rd Suite C Metamora MI 48455-8721 |
| Practice Telephone | 8106783202 |
| Practice Fax Number | 8106783205 |
| Mailing Telephone | 8106783202 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | DR. JEFFREY JOHN JACOB (EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8104413033 |
| Authorized Official Credential | D.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5501011436 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jacob Elite Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194067702 | Elite Physical Therapy and Wellness | Physical Therapist | 19888 N 73rd Ave, Glendale, AZ 85308-8904 | 2013-03-21 |
| Street Address |
4053 S LAPEER RD SUITE C |
| City | METAMORA |
| State | MI |
| Zip Code | 48455-8721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497798326 | Heidi R Irwin | Physical Therapist | 4053 S Lapeer Rd, Ste C, Metamora, MI 48455-8721 | 2006-06-14 |
| 1558429969 | Jeffrey John Jacob | Physical Therapist | 4053 S Lapeer Rd, Suite C, Metamora, MI 48455-8721 | 2006-12-05 |
| 1508961590 | Ammar El Nachef | Psychiatry & Neurology | 4053 S Lapeer Rd, Suite D, Metamora, MI 48455 | 2006-09-14 |
| 1851308373 | Alexander Paul Schultz Jr. | Dentist | 4053 S Lapeer Rd, B, Metamora, MI 48455-8721 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205490745 | Lydia Schwerin | Technician, Other | 5316 Thomas Rd, Metamora, MI 48455 | 2019-04-30 |
| 1518329838 | Lauren Elsner | Social Worker | 1080 Invitational Drive, Metamora, MI 48455 | 2016-03-25 |
| 1699081281 | Katie L Mysen | Nurse Practitioner | 1371 Masters Dr, Metamora, MI 48455 | 2010-08-20 |
| 1093955866 | Sandra Hembree | Nurse Practitioner | 3159 Autumn View Lane, Metamora, MI 48455 | 2009-03-05 |
| 1124176599 | Christine Rene Muzychka | Dentist | 4053 S.lapeer Rd, Suite B, Metamora, MI 48455 | 2007-01-08 |
| 1508808072 | Roger Curtis Gietzen | Psychiatry & Neurology | 3630-b Thornville Rd., Metamora, MI 48455 | 2006-06-11 |
| 1750876173 | Mobicare, LLC | Nurse Practitioner | 1371 Masters Dr, Metamora, MI 48455-8701 | 2018-06-27 |
| 1306443486 | Pyles Family Dentistry Pllc | Clinic/Center | 4053 S Lapeer Rd Ste B, Metamora, MI 48455-8718 | 2020-10-02 |
| 1568700946 | Laura J Wiley | Pharmacist | 3594 E Lake Dr, Metamora, MI 48455-8725 | 2013-01-20 |
| 1063492486 | Kevin Charles Jacob | Chiropractor | 3820 S Lapeer Rd, Metamora, MI 48455-8751 | 2006-01-20 |
| Find all providers in zip 48455 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396257135 | Metamora Physical Therapy LLC | Clinic/Center | 3562 S Lapeer Rd Ste F, Metamora, MI 48455-8998 | 2017-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679485 | Thrive Physical Therapy | Clinic/Center | 835 Mason St Ste A245, Dearborn, MI 48124-2231 | 2020-11-06 |
| 1700484482 | Redford Physical Therapy LLC | Clinic/Center | 25136 W 6 Mile Rd, Redford, MI 48240-2102 | 2020-10-14 |
| 1740894500 | Sara Sue Laisure | Clinic/Center | 1105 E 8th St, Traverse City, MI 49686-2936 | 2020-08-31 |
| 1578176269 | Pro-line Physical Therapy, LLC | Clinic/Center | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-08-24 |
| 1326650011 | Physical Therapy Center for Sports and Performing Arts, Pllc | Clinic/Center | 30475 Stephenson Hwy, Madison Heights, MI 48071-1615 | 2020-08-23 |
| 1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1114537719 | Axpert Rehab Care, LLC | Clinic/Center | 22830 Kelly Rd, Eastpointe, MI 48021-2072 | 2020-08-07 |
| 1619586898 | Right Health, PC | Clinic/Center | 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 | 2020-07-23 |
| 1497378368 | Launch Pediatric Rehab | Clinic/Center | 13448 Greenbriar Dr, Grand Haven, MI 49417-9161 | 2020-05-26 |
| 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.