MEDICARE: BRIAN MCELHINNEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1558824383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MCELHINNEY

Provider Business Mailing Address
First Line	:	PO BOX 724557
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31139-1557
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 PALM COAST PKWY NE UNIT 209A
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-8289
Country	:	US
Telephone Number	:	386-597-1927
Fax Number	:	386-597-1926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2019
Last Update Date	:	04/09/2019

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Directions to “ BRIAN MCELHINNEY ” Practice Location

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