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General NPI Number Information
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NPI Number | 1174321053
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Entity Type | Organization
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Legal Business Name | ELITE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 5126 W LOOP 1604 N STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4408
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Country | US
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Telephone | 210-399-0888
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Fax | 210-664-2409
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Provider Business Mailing Address
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Address Line | 9003 PINE CREEK DR
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City | SAN ANTONIO
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State | TX
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Zip | 78250-5247
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Country | US
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Telephone | 786-255-4446
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CRYSTAL ARELLANO
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Credential |
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Telephone | 786-255-4446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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