ELITE PERFORMANCE AND REHAB, LLC
NPI 1255877346
Clinic/Center - Physical Therapy in Vicksburg, MS
About Elite Performance And Rehab, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE PERFORMANCE AND REHAB, LLC (NPI 1255877346) is a healthcare organization registered as a physical therapy in Vicksburg, Mississippi and active in the NPI registry since January 2017. The organization lists William Fulcher, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Performance And Rehab, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Elite Performance And Rehab, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 Performance And Rehab, LLC's NPI number?
The NPI number for Elite Performance And Rehab, LLC is 1255877346. It was assigned to this organization in the NPPES registry on January 12, 2017.
Where is Elite Performance And Rehab, LLC located?
Elite Performance And Rehab, LLC is located at 1901 A Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 636-0097.
What is Elite Performance And Rehab, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Elite Performance And Rehab, LLC enrolled in Medicare?
Yes. Elite Performance And Rehab, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Performance And Rehab, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Elite Performance And 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. The largest specialties are Physical Therapist in Private Practice (7), Occupational Therapist in Private Practice (2) and Qualified Speech Language Pathologist (2). Of these, 6 practice at this address and 8 within 10 miles. 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 Performance And Rehab, LLC was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.