Healthcare Provider Details

I. General information

NPI: 1477356871
Provider Name (Legal Business Name): ELITE PHYSICAL THERAPY AND REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 ENGLISH TOWN LN APT 312
WINTER SPRINGS FL
32708-4680
US

IV. Provider business mailing address

960 ENGLISH TOWN LN APT 312
WINTER SPRINGS FL
32708-4680
US

V. Phone/Fax

Practice location:
  • Phone: 754-234-2738
  • Fax:
Mailing address:
  • Phone: 754-234-2738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NICHOLAS J COLETTI
Title or Position: OWNER
Credential: PT, DPT
Phone: 754-234-2738