Healthcare Provider Details
I. General information
NPI: 1558290445
Provider Name (Legal Business Name): ELITE PHYSICAL THERAPY OF VERO BEACH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
787 37TH ST STE 100
VERO BEACH FL
32960-7305
US
IV. Provider business mailing address
1441 56TH SQ W
VERO BEACH FL
32966-2397
US
V. Phone/Fax
- Phone: 516-784-9753
- Fax:
- Phone: 516-784-9753
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THOMAS
SCOTT
BURNS
Title or Position: PRESIDENT
Credential: DPT
Phone: 516-784-9753