Elite Therapy Associates

LBN: Elite Therapy, Llc
Elite Therapy Associates is an health care organization with primary practice located at 1505 Renaissance Blvd , Edmond OK 73013-3018. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Elite Therapy, Llc can be contacted via phone (405) 850-8497, or through Parry, Shea Nicole via phone (405) 850-8497.

Contact Information

Primary practice address
1505 Renaissance Blvd Edmond OK 73013-3018
Phone: (405) 850-8497
Fax: (405) 300-0643
Website:
Map and Directions
Authorized official contact:
Name: Parry, Shea Nicole M.ED., M.S. CCC-SLP
Phone: (405) 850-8497

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2927 Oklahoma

Profile Details

NPI number 1891218202
LBN Legal business name Elite Therapy, Llc
DBA Doing business as Elite Therapy Associates
Authorized official Parry, Shea Nicole M.ED., M.S. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2017
Last updated Aug 8th, 2017 - about 8 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

StateTypeNumberIssuer
All States NPI 1891218202 NPPES
Oklahoma MEDICAID 200006740C
Oklahoma MEDICAID 2004714030A
Oklahoma Other 12040663
Oklahoma Other 1326194432
Oklahoma Other 1043580830
Oklahoma Other 1366694663
Oklahoma MEDICAID 100649180A

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