Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Performance and Rehab, LLC

Organization Physical Therapy Clinic/Center · NPI 1255877346

Elite Performance and Rehab, LLC is a Physical Therapy Clinic/Center in Vicksburg, Mississippi. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901 A Mission 66
Vicksburg, MS 39180
Phone: (601) 636-0097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1255877346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Fulcher — Partner · (601) 636-0097
NPI enumeratedJanuary 12, 2017
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address1901 A Mission 66, Vicksburg, MS 39180

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