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

Elite Rehab LLC

Organization Physical Therapist · NPI 1205792850

Elite Rehab LLC is a Physical Therapist in Kirksville, Missouri. Registered with an NPI since 2025.

In the registry since
2025
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

616 E Shepherd Ave
Kirksville, MO 63501-4711
Phone: (660) 956-9925
Fax: (660) 956-9924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1205792850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Mack — Owner · (660) 956-9925
NPI enumeratedDecember 29, 2025
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address616 E Shepherd Ave, Kirksville, MO 63501-4711

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