Elite Sports, Inc. in Stoughton - Occupational Therapist
Elite Sports, Inc. - NPI 1093811408
Elite Sports, Inc. is a Occupational Therapist in Stoughton, Massachusetts. Elite Sports, Inc. practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Elite Sports, Inc. is 1093811408. The last update date is 2013-07-12.
Elite Sports, Inc.'s current location address is 1519 Central St, Stoughton, Massachusetts. You can contact this provider via phone number 7812970979 and fax number 7812973703. The mailing address for Elite Sports, Inc. is 1519 Central St, Stoughton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elite Sports, Inc. |
|---|---|
| Address | 1519 Central St, Stoughton, Massachusetts |
| Phone Number | 7812970979 |
| Fax Number | 7812973703 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Callanan Edward Keith |
| Credentials | MPT |
| Telephone Number | 7812970979 |
NPI Number Detail
| NPI Number | 1093811408 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2013-07-12 |
Provider Mailing Address Detail
| Address | 1519 Central St |
|---|---|
| City | Stoughton |
| State | Massachusetts (MA) |
| Post Code | 20724415 |
| Phone Number | 7812970979 |
| Fax Number | 7812973703 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 51 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y61307 | MA | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Elite Sports, Inc. by the Centers for Medicare & Medicaid Services?
The Elite Sports, Inc. has been issued the NPI (National Provider Identifier) 1093811408. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Elite Sports, Inc. is physically located?
The Elite Sports, Inc. is situated at the following address: 1519 Central St, Stoughton, MA 20724415.
What is Elite Sports, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elite Sports, Inc. is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.
When was the Elite Sports, Inc.'s 1093811408 issued?
The Elite Sports, Inc.'s 1093811408 was issued on 2006-09-15.
As of what date were the details pertaining to Elite Sports, Inc. last refreshed?
The information related to the Elite Sports, Inc., including its address, specialty, and other relevant details, was last updated on 2013-07-12.