ELITE REHAB HEFLIN LLC – Physical Therapist, NPI 1811603129

ELITE REHAB HEFLIN LLC is a healthcare provider. based in Heflin, Alabama. specializing in Physical Therapist. The NPI Number for ELITE REHAB HEFLIN LLC is 1811603129

Main info

Organization
Name
ELITE REHAB HEFLIN LLC
NPI
1811603129
Phone
(256) 635-7212
Address
141 WILLOUGHBY ST
Authorized Official
PAMELA P VAN ETTEN ADMINISTRATOR
Enumeration Date
30 January 2023
Last Update Date
24 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for ELITE REHAB HEFLIN LLC

  • 141 WILLOUGHBY ST

    HEFLIN, AL 362641425

    Phone: (256) 635-7212

    Fax: (256) 573-1089

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20230503003062OPhysical/Occupational Therapy Group In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36264)

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Reviews

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Frequently asked questions

What is the standard ID for ELITE REHAB HEFLIN LLC in the U.S.?
In the U.S., ELITE REHAB HEFLIN LLC is identified by NPI 1811603129.
Should I treat ELITE REHAB HEFLIN LLC as an active provider?
Patients and plans typically see ELITE REHAB HEFLIN LLC as active in the national extract.
Which specialty label fits ELITE REHAB HEFLIN LLC?
NPPES ties ELITE REHAB HEFLIN LLC to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELITE REHAB HEFLIN LLC?
ELITE REHAB HEFLIN LLC is associated with Heflin, Alabama in the same public data insurers reference.
Why is information missing for ELITE REHAB HEFLIN LLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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