Elite Physical Therapy Group, Llc

LBN: Elite Physical Therapy Group, Llc

Elite Physical Therapy Group, Llc is an health care organization with primary practice located at 223 140Th St S Ste 700 , Tacoma WA 98444-4549. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Elite Physical Therapy Group, Llc can be contacted via phone (253) 531-5645, or through Pettingill, Trevor William via phone (253) 732-8116.

Contact Information

Primary practice address

223 140Th St S Ste 700 Tacoma WA 98444-4549

Phone: (253) 531-5645

Fax: (253) 536-3467

Website:

Map and Directions

Authorized official contact:

Name: Pettingill, Trevor William Master of Physical Therapy (MPT)

Phone: (253) 732-8116

Health care specialties

Specialty	Code	License #	State
Ambulatory Health Care Facilities / Physical Therapy	261QP2000X	602832882	Washington

Profile Details

NPI number	1821256298
LBN Legal business name	Elite Physical Therapy Group, Llc
DBA Doing business as
Authorized official	Pettingill, Trevor William Master of Physical Therapy (MPT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	Jun 2nd, 2008
Last updated	Sep 20th, 2022 - about 3 years ago

¹ Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1821256298	NPPES
	Other	G8876026	MEDICARE PTAN #
	MEDICAID	2001745	MEDICARE PTAN #

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