ELITE REHAB HOLTVILLE LLC
NPI 1649913120
Clinic/Center - Physical Therapy in Deatsville, AL

Active since April 14, 2022
213 LIGHTWOOD RD STE 2, DEATSVILLE, AL 36022(334) 543-4269(334) 543-4272 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elite Rehab Holtville Llc NPPES

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

ELITE REHAB HOLTVILLE LLC (NPI 1649913120) is a healthcare organization registered as a physical therapy in Deatsville, Alabama and active in the NPI registry since April 2022. The organization lists Pamela P Van Etten, Administrator, as its authorized official.

NPPES Registry Identity

NPI1649913120
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameELITE REHAB HOLTVILLE LLC
Location Address213 LIGHTWOOD RD STE 2Deatsville, AL 36022
Mailing Address213 Lightwood Rd Ste 2Deatsville, AL 36022 · (334) 543-4269 · Fax (334) 543-4272
Fax(334) 543-4272
Organization SubpartNo
Authorized OfficialPamela P Van EttenAdministrator · (334) 799-5853
Enumeration DateApril 14, 2022
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1649913120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
213 LIGHTWOOD RD STE 2, Deatsville, AL 36022

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 Holtville Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Elite Rehab Holtville LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Physical Therapist in Private Practice
NPI 1760211130
213 LIGHTWOOD RD STE 2
Deatsville, AL 36022
(334) 543-4269
Same address
Physical Therapist in Private Practice
NPI 1306954276
102 MEDICAL CENTER DR STE G
Prattville, AL 36066
(334) 239-0708
✔ Accepts Medicare12 mi
Physical Therapist in Private Practice
NPI 1962048454
1636 MULBERRY ST
Montgomery, AL 36106
(342) 653-1993
✔ Accepts Medicare19 mi
Physical Therapist in Private Practice
NPI 1124348875
1636 MULBERRY ST
Montgomery, AL 36106
(334) 265-3199
✔ Accepts Medicare19 mi
Physical Therapist in Private Practice
NPI 1619421435
1636 MULBERRY ST
Montgomery, AL 36106
(334) 265-3199
✔ Accepts Medicare19 mi
Physical Therapist in Private Practice
NPI 1700609724
6942 WINTON BLOUNT BLVD
Montgomery, AL 36117
(334) 277-1234
✔ Accepts Medicare20 mi
Physical Therapist in Private Practice
NPI 1689969701
1000 FRIENDSHIP RD
Tallassee, AL 36078
(334) 283-8032
✔ Accepts Medicare25 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 Rehab Holtville LLC's NPI number?

The NPI number for Elite Rehab Holtville LLC is 1649913120. It was assigned to this organization in the NPPES registry on April 14, 2022.

Where is Elite Rehab Holtville LLC located?

Elite Rehab Holtville LLC is located at 213 Lightwood Rd Ste 2, Deatsville, AL 36022. The listed phone number is (334) 543-4269.

What is Elite Rehab Holtville LLC's specialty?

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

Is Elite Rehab Holtville LLC enrolled in Medicare?

Yes. Elite Rehab Holtville LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Rehab Holtville LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Elite Rehab Holtville 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. Of these, 1 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 Rehab Holtville LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.