| Organization Name: | ELITE PHYSICAL THERAPY GROUP, INC |
| NPI Number: | 1710939947 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN BART JONES (PRESIDENT) |
| Mailing Address: | 3446 Masonic Dr Alexandria |
| State: | LA US |
| Postal Code: | 713013615 |
| Phone Number: | 3184433311 |
| Fax Number: | 3184430023 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 11/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |