| Organization Name: | ELITE SPORTS REHABILITATION P C |
| NPI Number: | 1104068717 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGIE SAGLE (PHYSICIAN ADMINISTRATOR) |
| Mailing Address: | 1240 N Pitt St Alexandria |
| State: | VA US |
| Postal Code: | 223145600 |
| Phone Number: | 7037390456 |
| Fax Number: | 7037390032 |
| NPI Enumeration Date: | 03/27/2009 |
| NPI Last Update Date: | 06/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305204844 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |