| Elite Rehab Inc | |
|
935 Highway 431 Ste 1, Roanoke, AL 36274-7332 | |
| (334) 863-2068 | |
| (334) 863-2069 |
| Full Name | Elite Rehab Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 935 Highway 431 Ste 1, Roanoke, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518361294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Justin B Crain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790721363 PECOS PAC ID: 7416977996 Enrollment ID: I20051129000628 |
| Provider Name | Tyson Crisman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306954276 PECOS PAC ID: 6608907894 Enrollment ID: I20100702000335 |
| Provider Name | Clint D Mann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124348875 PECOS PAC ID: 5991829244 Enrollment ID: I20100824000634 |
| Provider Name | Jared Blair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689969701 PECOS PAC ID: 8628256054 Enrollment ID: I20110706000487 |
| Provider Name | Rachel L Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285842617 PECOS PAC ID: 8729232715 Enrollment ID: I20130307000101 |
| Provider Name | Kana Pair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770989774 PECOS PAC ID: 8527386275 Enrollment ID: I20150409002075 |
| Provider Name | Randall Alan Ransom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306124151 PECOS PAC ID: 5698944288 Enrollment ID: I20160120000212 |
| Provider Name | Harlan Scott Owenby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407220569 PECOS PAC ID: 9638475429 Enrollment ID: I20160303001498 |
| Provider Name | Albert J Mayhan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619421435 PECOS PAC ID: 6709166358 Enrollment ID: I20161216002199 |
| Provider Name | Dalton K Screws |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538793401 PECOS PAC ID: 4284064023 Enrollment ID: I20200420001378 |
| Provider Name | Ginger C Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457316903 PECOS PAC ID: 2567816200 Enrollment ID: I20230928001593 |
| Provider Name | Jonathon Worth Locke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962048454 PECOS PAC ID: 1951750306 Enrollment ID: I20231211000601 |
| Provider Name | Cody Brian Dingman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760211130 PECOS PAC ID: 3678006095 Enrollment ID: I20241023004875 |
| Provider Name | Dakota Andrew Vessicchio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700609724 PECOS PAC ID: 1557898889 Enrollment ID: I20241226001951 |
| Provider Name | Loren Grace Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376367193 PECOS PAC ID: 8527595883 Enrollment ID: I20241226003022 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Rehab Inc 935 Highway 431, Suite 1, Roanoke, AL 36274-7331 Ph: (334) 863-2068 | Elite Rehab Inc 935 Highway 431 Ste 1, Roanoke, AL 36274-7332 Ph: (334) 863-2068 |
Matthew W Krason, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Piedmont St, Roanoke, AL 36274 Phone: 334-863-3535 Fax: 334-863-7276 | |
Shannon Fuller, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1235 Yancey St, Roanoke, AL 36274 Phone: 334-863-3535 Fax: 334-863-7276 | |
Dalton Screws, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 935 Highway 431 Ste 1, Roanoke, AL 36274 Phone: 334-863-2068 | |
Mr. Noel Escario Almario, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 Piedmont St, Roanoke, AL 36274 Phone: 334-863-3535 |