ELITE SPINE AND SPORTS CARE OF FORT LEE PC
NPI 1508336298
Clinic/Center - Physical Therapy in Fort Lee, NJ

Active since November 26, 2018
1622 PARKER AVE STE 2B, FORT LEE, NJ 07024(201) 592-0800 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 28, 2022, Nov 26, 2018 (2 updates tracked since 2018).

About Elite Spine And Sports Care Of Fort Lee Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE SPINE AND SPORTS CARE OF FORT LEE PC (NPI 1508336298) is a healthcare organization registered as a physical therapy in Fort Lee, New Jersey and active in the NPI registry since November 2018. The organization lists Gabriel Hannawi, President, as its authorized official.

NPPES Registry Identity

NPI1508336298
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameELITE SPINE AND SPORTS CARE OF FORT LEE PC
Location Address1622 PARKER AVE STE 2BFort Lee, NJ 07024-6927
Mailing Address1622 Parker Ave Ste 2bFort Lee, NJ 07024-6927
Organization SubpartNo
Authorized OfficialGabriel HannawiPresident · (201) 592-0800
Enumeration DateNovember 26, 2018
Last NPPES UpdateDecember 28, 20222 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1508336298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedChiropractorTaxonomy 111N00000X
1622 PARKER AVE STE 2B, Fort Lee, NJ 07024

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Spine And Sports Care Of Fort Lee Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Elite Spine And Sports Care Of Fort Lee PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Physical Therapist in Private Practice
NPI 1366252181
1622 PARKER AVE STE 2B
Fort Lee, NJ 07024
(201) 592-0800
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1346072303
1622 PARKER AVE STE 2B
Fort Lee, NJ 07024
(201) 592-0800
✔ Accepts MedicareSame address
Chiropractic
NPI 1407487051
1622 PARKER AVE # 2B
Fort Lee, NJ 07024
(201) 592-0800
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1821567553
1622 PARKER AVE
Fort Lee, NJ 07024
(201) 661-3398
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1861148686
351 UNION BLVD
Totowa, NJ 07512
(862) 239-1768
✔ Accepts Medicare13 mi
Chiropractic
NPI 1013332055
351 UNION BLVD
Totowa, NJ 07512
(201) 563-7095
✔ Accepts Medicare13 mi

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 Spine And Sports Care Of Fort Lee PC's NPI number?

The NPI number for Elite Spine And Sports Care Of Fort Lee PC is 1508336298. It was assigned to this organization in the NPPES registry on November 26, 2018.

Where is Elite Spine And Sports Care Of Fort Lee PC located?

Elite Spine And Sports Care Of Fort Lee PC is located at 1622 Parker Ave Ste 2B, Fort Lee, NJ 07024. The listed phone number is (201) 592-0800.

What is Elite Spine And Sports Care Of Fort Lee PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Elite Spine And Sports Care Of Fort Lee PC enrolled in Medicare?

Yes. Elite Spine And Sports Care Of Fort Lee PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Spine And Sports Care Of Fort Lee PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Elite Spine And Sports Care Of Fort Lee PC, in Chiropractic, Occupational Therapist in Private Practice and Physical Therapist in Private Practice. 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. Of these, 4 practice at this address. 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 Spine And Sports Care Of Fort Lee PC was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.