ELITE PHYSICAL THERAPY LLC NPI 1760736185

NPI Information

  • NPI: 1760736185
  • Provider Name: ELITE PHYSICAL THERAPY LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: CORA PHYSICAL THERAPY - SOUTH COUNTY
  • Address: 12626 LAMPLIGHTER SQUARE
    SAINT LOUIS, MO
    ZIP 63128
  • Phone: (314) 842-4222

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NPI Details

ELITE PHYSICAL THERAPY LLC is a rehabilitation clinic center in Saint Louis, MO. ELITE PHYSICAL THERAPY LLC NPI is 1760736185. The provider is registered as an organization entity type.
The provider Is Doing Business As Cora Physical Therapy - South County.

The provider's business location address is:

12626 LAMPLIGHTER SQUARE
SAINT LOUIS, MO
ZIP 63128-746
Phone: (314) 842-4222
Fax: (314) 842-9363

The provider's authorized official is Stephen Krzyminski .
The authorized official title is Executive Vice Presidetn and has the following contact phone number (419) 221-6717.

The enumeration date for this NPI number is 11/7/2012 and was last updated on 10/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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