# DPTI ELITE PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013383496
- **Authorized official:** BRYAN BARGANIER (CFO)
- **Authorized official phone:** (205) 536-7602

## Contact information

- **Practice address:** 715 HIGHWAY 45, BALDWYN, MS 38824-8591
- **Practice address phone:** (717) 220-2100
- **Mailing address:** 715 HIGHWAY 45, BALDWYN, MS 38824-8591
- **Mailing address phone:** (717) 220-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/19/2015
- **Last updated:** 11/16/2023