ELITE REHAB LLC
NPI 1205792850
Physical Therapist in Kirksville, MO
About Elite Rehab Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE REHAB LLC (NPI 1205792850) is a healthcare organization registered as a physical therapist in Kirksville, Missouri and active in the NPI registry since December 2025. The organization lists Brandon Lee Mack, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elite Rehab Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Elite Rehab LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Kirksville, MO 63501
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elite Rehab LLC's NPI number?
The NPI number for Elite Rehab LLC is 1205792850. It was assigned to this organization in the NPPES registry on December 29, 2025.
Where is Elite Rehab LLC located?
Elite Rehab LLC is located at 616 E Shepherd Ave, Kirksville, MO 63501. The listed phone number is (660) 956-9925.
What is Elite Rehab LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Elite Rehab LLC enrolled in Medicare?
Yes. Elite Rehab LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Rehab LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Elite Rehab LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Elite Rehab LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.