Elite Physical Therapy is a medicare enrolled "Clinic/center - Physical Therapy" provider in Ormond Beach, Florida. Their current practice location is
410 S Nova Rd Ste 2, Ormond Beach, Florida. You can reach out to their office (for appointments etc.) via phone at
(386) 675-6114.
Elite Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Elite Physical Therapy
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 1699095042.
Healthcare Provider's Profile
Full Name | Elite Physical Therapy |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 410 S Nova Rd Ste 2, Ormond Beach, Florida |
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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: 1699095042
- Provider Enumeration Date: 06/08/2010
- Last Update Date: 12/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 6305029026
- Enrollment ID: O20110317000698
Medical Identifiers
Medical identifiers for Elite Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699095042 | 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 Physical Therapy acts as a billing entity for following providers:
Provider Name | Karen A Hanflink |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1215162961 PECOS PAC ID: 4486790292 Enrollment ID: I20091008000427 |
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Provider Name | Michel Van Thielen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1841200144 PECOS PAC ID: 5991988636 Enrollment ID: I20110317000887 |
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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 Physical Therapy 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 Physical Therapy 410 S Nova Rd Ste 2, Ormond Beach, FL 32174-0409 Ph: (386) 675-6114 | Elite Physical Therapy 410 S Nova Rd Ste 2, Ormond Beach, FL 32174-0409 Ph: (386) 675-6114 |
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