Elite Rehab Inc
NPI 1518361294ActiveOrganization· Physical Therapist· Roanoke, AL
Physical Therapist in Roanoke, Alabama, registered in NPPES in October 2014. The authorized official on file is Pamela P. Van Etten, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518361294 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2014 |
| Last updated in NPPES | Apr 24, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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