Healthcare Provider Details

I. General information

NPI: 1710898044
Provider Name (Legal Business Name): ELITE PHYSICAL THERAPY AND PERFORMANCE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 E BIDWELL ST STE 9
FOLSOM CA
95630-3315
US

IV. Provider business mailing address

705 E BIDWELL ST STE 9
FOLSOM CA
95630-3315
US

V. Phone/Fax

Practice location:
  • Phone: 916-908-4777
  • Fax:
Mailing address:
  • Phone: 916-908-4777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SUNG YONG CHO
Title or Position: PRESIDENT
Credential: PT, DPT
Phone: 916-908-4777