Elata Health and Wellness, LLC
NPI 1417311028 · Physical Therapist · Mckinney, TX
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elata Health and Wellness, LLC is a Physical Therapist organization in Mckinney, TX (NPI 1417311028).
Provider details
- NPI number
- 1417311028
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Maria Catherine Custodio, Pt/Owner(972) 984-7670
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Other names (DBA / former)
- Doing business as
- Active Life Physical Therapy
- Doing business as
- Active Life Physical Therapy
Registry dates
- Enumerated
- 2016-04-09
- Last updated
- 2022-10-14
- Certified
- 2022-10-14
Frequently asked questions
- What is Elata Health and Wellness, LLC's NPI number?
- Elata Health and Wellness, LLC's National Provider Identifier (NPI) is 1417311028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elata Health and Wellness, LLC?
- Elata Health and Wellness, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Elata Health and Wellness, LLC located?
- Elata Health and Wellness, LLC's practice location on file with NPPES is 2600 Eldorado Pkwy Ste 130, Mckinney, TX 75070-7517.
- What is Elata Health and Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Elata Health and Wellness, LLC is (972) 984-7670.
- Does Elata Health and Wellness, LLC accept Medicare?
- Elata Health and Wellness, 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 Elata Health and Wellness, LLC?
- The authorized official listed on Elata Health and Wellness, LLC's NPPES record is Maria Catherine Custodio, Pt/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elata Health and Wellness, LLC's NPI active?
- Yes — Elata Health and Wellness, LLC's NPI (1417311028) is active in the NPPES registry as of the last update on 2022-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.