OrganizationActive
Elite Physical Medicine and Rehabilitation LLC
NPI 1669963021 · Interventional Pain Medicine Physician · Mason, OH
Provider details
- NPI number
- 1669963021
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Segraves, Owner(513) 486-3744
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6213 Snider Rd Ste a
Mason, OH 45040-2793
Phone: (513) 486-3744
Approximate (ZIP-level) locationGet directions
Mailing address
6213 Snider Rd Ste a
Mason, OH 45040-2643
Registry dates
- Enumerated
- 2018-05-22
- Last updated
- 2023-01-10
- Certified
- 2023-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.