# ELITE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1871789727
- **Authorized official:** MICHAEL A NULA MSPT (OWNER/MSPT)
- **Authorized official phone:** (401) 737-6011

## Contact information

- **Practice address:** 285 GOVERNOR ST, PROVIDENCE, RI 02906-3237
- **Practice address phone:** (401) 276-0800
- **Practice address fax:** (401) 276-0808
- **Mailing address:** 535 CENTERVILLE RD, SUITE 101, WARWICK, RI 02886-4376
- **Mailing address phone:** (401) 737-4581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT01641 | RI | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 09/24/2007