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General NPI Number Information
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NPI Number | 1477356871
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Entity Type | Organization
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Legal Business Name | ELITE PHYSICAL THERAPY AND REHAB LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 960 ENGLISH TOWN LN APT 312
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4680
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Country | US
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Telephone | 754-234-2738
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Fax |
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Provider Business Mailing Address
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Address Line | 960 ENGLISH TOWN LN APT 312
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4680
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Country | US
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Telephone | 754-234-2738
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICHOLAS J COLETTI
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Credential | PT, DPT
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Telephone | 754-234-2738
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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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