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General NPI Number Information
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NPI Number | 1376620914
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Entity Type | Organization
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Legal Business Name | ELITE PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 11020 S PIKES PEAK DR STE 110
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City | PARKER
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State | CO
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Zip | 80138-7413
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Country | US
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Telephone | 303-841-2524
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Fax | 303-840-1319
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Provider Business Mailing Address
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Address Line | 11020 S PIKES PEAK DR STE 110
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City | PARKER
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State | CO
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Zip | 80138-7413
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Country | US
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Telephone | 303-841-2524
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Fax | 303-840-1319
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARNIE MCDOWALL
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Credential | PT
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Telephone | 303-489-7893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 3606
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License Number State | CO
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