Elite Alliance Physical Therapy Pllc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Dallas, Texas. Their current practice location is
2629 N Stemmons Fwy Ste 225, Dallas, Texas. You can reach out to their office (for appointments etc.) via phone at
(469) 531-9697.
Elite Alliance Physical Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Elite Alliance Physical Therapy Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114692597.
Healthcare Provider's Profile
Full Name | Elite Alliance Physical Therapy Pllc |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 2629 N Stemmons Fwy Ste 225, Dallas, Texas |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114692597
- Provider Enumeration Date: 08/09/2021
- Last Update Date: 08/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092191874
- Enrollment ID: O20220930002566
Medical Identifiers
Medical identifiers for Elite Alliance Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114692597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Elite Alliance Physical Therapy Pllc acts as a billing entity for following providers:
Provider Name | Emmanuel Fasanya |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1962051383 PECOS PAC ID: 6901282789 Enrollment ID: I20221021000613 |
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Provider Name | Joseph Stewart |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1265117295 PECOS PAC ID: 5193188365 Enrollment ID: I20230906001043 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elite Alliance Physical Therapy Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elite Alliance Physical Therapy Pllc 4201 Poppy Hill Ct, Rowlett, TX 75088-6496 Ph: (469) 531-9697 | Elite Alliance Physical Therapy Pllc 2629 N Stemmons Fwy Ste 225, Dallas, TX 75207-2115 Ph: (469) 531-9697 |
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