Elite Performance and Rehab, LLC
NPI 1255877346 · Physical Therapy Clinic/Center · Vicksburg, MS
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Performance and Rehab, LLC is a Physical Therapy Clinic/Center organization in Vicksburg, MS (NPI 1255877346).
Provider details
- NPI number
- 1255877346
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Fulcher, Partner(601) 636-0097
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-01-12
- Last updated
- 2022-07-18
- Certified
- 2022-07-18
Frequently asked questions
- What is Elite Performance and Rehab, LLC's NPI number?
- Elite Performance and Rehab, LLC's National Provider Identifier (NPI) is 1255877346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Performance and Rehab, LLC?
- Elite Performance and Rehab, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Elite Performance and Rehab, LLC located?
- Elite Performance and Rehab, LLC's practice location on file with NPPES is 1901 a Mission 66, Vicksburg, MS 39180.
- What is Elite Performance and Rehab, LLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Performance and Rehab, LLC is (601) 636-0097.
- Does Elite Performance and Rehab, LLC accept Medicare?
- Elite Performance and Rehab, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elite Performance and Rehab, LLC?
- The authorized official listed on Elite Performance and Rehab, LLC's NPPES record is William Fulcher, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Performance and Rehab, LLC's NPI active?
- Yes — Elite Performance and Rehab, LLC's NPI (1255877346) is active in the NPPES registry as of the last update on 2022-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.