OrganizationActive
Elite Physical Therapy LLC
NPI 1760736185 · Rehabilitation Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1760736185
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Krzyminski, Executive Vice Presidetn(419) 221-6717
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12626 Lamplighter Square
Saint Louis, MO 63128-2746
Phone: (314) 842-4222
Fax: (314) 842-9363
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 150
Lima, OH 45802-0150
Other names (DBA / former)
- Doing business as
- Cora Physical Therapy - South County
Registry dates
- Enumerated
- 2012-11-07
- Last updated
- 2023-10-19
- Certified
- 2023-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.