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ELITE THERAPY LLC NPI 1891218202


NPI Information

NPI: 1891218202
Provider Name: ELITE THERAPY, LLC

Doing Business As: ELITE THERAPY ASSOCIATES

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1505 RENAISSANCE BLVD
EDMOND, OK
ZIP 73013
Phone: (405) 850-8497
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ELITE THERAPY, LLC is a speech language pathologist in Edmond, OK. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. ELITE THERAPY, LLC NPI is 1891218202. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elite Therapy Associates.

The provider's business location address is:

1505 RENAISSANCE BLVD
EDMOND, OK
ZIP 73013-018
Phone: (405) 850-8497
Fax: (405) 300-0643

The provider's authorized official is Shea Nicole Parry .
The authorized official title is Owner/president and has the following contact phone number (405) 850-8497.

The enumeration date for this NPI number is 7/18/2017 and was last updated on 8/8/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistNo
2224Z00000XOccupational Therapy AssistantNo
3225X00000XOccupational TherapistNo
4235Z00000XSpeech-Language Pathologist2927OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12004714030AMEDICAIDOKLAHOMA
21366694663OTHERSHEA PARRY M.ED., M.S. CCC-SLP
31043580830OTHERDIANA DORETY MS CCC-SLP
4200006740CMEDICAIDOKLAHOMA
51326194432OTHERJOAN WIGGINS OTR
6100649180AMEDICAIDOKLAHOMA
712040663OTHEROKLAHOMASHEA PARRY M.ED., M.S. CCC-SLP

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: 11/14/2023

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