Elite Athletic Therapy, Pllc - Medicare in West Lake Hills, TX

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Elite Athletic Therapy, Pllc is a medicare enrolled "Clinic/center - Physical Therapy" provider in West Lake Hills, Texas. Their current practice location is 4201 Bee Caves Rd # 106, West Lake Hills, Texas. You can reach out to their office (for appointments etc.) via phone at (303) 817-2290.

Elite Athletic Therapy, Pllc is licensed to practice in Texas (license number 1175083) and it also participates in the medicare program. Elite Athletic Therapy, Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1306207915.

Contact Information

Elite Athletic Therapy, Pllc
4201 Bee Caves Rd # 106,
West Lake Hills, TX 78746-6465
(303) 817-2290
(888) 854-2849

Map and Direction




Healthcare Provider's Profile

Full NameElite Athletic Therapy, Pllc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location4201 Bee Caves Rd # 106, West Lake Hills, Texas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306207915
  • Provider Enumeration Date: 03/09/2016
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244624245
  • Enrollment ID: O20220308000059

Medical Identifiers

Medical identifiers for Elite Athletic Therapy, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306207915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy 1175083 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Elite Athletic Therapy, Pllc acts as a billing entity for following providers:
Provider NameCullen Michael Nigrini
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427269570
PECOS PAC ID: 0840426714
Enrollment ID: I20131123000050
Provider NameMarcus Cantu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932476314
PECOS PAC ID: 2769609056
Enrollment ID: I20140811000769
Provider NameDeborah Tingey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457870800
PECOS PAC ID: 3971987348
Enrollment ID: I20220902001048
Provider NameMatthew William Mainelli
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477280634
PECOS PAC ID: 0941685994
Enrollment ID: I20220912003790
Provider NameJohn Patrick Dowling
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225758436
PECOS PAC ID: 6901282482
Enrollment ID: I20221006002174
Provider NameBailey Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902555444
PECOS PAC ID: 7315475381
Enrollment ID: I20250106000340
Provider NameBennett James Rack
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982433488
PECOS PAC ID: 4486183175
Enrollment ID: I20250124001880

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elite Athletic Therapy, Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elite Athletic Therapy, Pllc
4201 Bee Caves Rd # 106,
West Lake Hills, TX 78746-6465

Ph: (303) 817-2290		Elite Athletic Therapy, Pllc
4201 Bee Caves Rd # 106,
West Lake Hills, TX 78746-6465

Ph: (303) 817-2290

Reviews and Comments



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