Provider Demographics
NPI:1598346314
Name:ELITE THERAPY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ELITE THERAPY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:KINZELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-594-2060
Mailing Address - Street 1:983A E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3184
Mailing Address - Country:US
Mailing Address - Phone:610-594-2060
Mailing Address - Fax:
Practice Address - Street 1:790 E MARKET ST STE 290
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4891
Practice Address - Country:US
Practice Address - Phone:610-696-3305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty