NPIMap

Organization Active NPI

Mobility Fit Physical Therapy LLC

  • Physical Therapist
  • West Chester, OH
National Provider Identifier
1003237470
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012818 Issued in OH
Legal business name
MOBILITY FIT PHYSICAL THERAPY LLC
Practice address
7782 Service Center Dr
West Chester, OH 45069-2442
Phone
(303) 710-0515
Fax
(888) 972-7349
NPI assigned
Jan 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew Samuel Cook, DPTNPI 1033548763
Title
Owner
Phone
(303) 710-0515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 012818 OH Primary

Addresses

Primary practice location

7782 Service Center Dr
West Chester, OH 45069-2442

Mailing address

5600 Whispering Way
Springboro, OH 45066-7407
Phone (303) 710-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180112001546 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052670379 Receives reassigned benefits from 19 practitioners
2 other NPIs on this enrollment
Practice locations: Beavercreek, OH; Blue Ash, OH; Centerville, OH; Lebanon, OH; West Chester, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mobility Fit Physical Therapy LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2080 Beaver Valley Rd
Beavercreek, OH 45434
Phone (513) 802-1929

11125 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 791-4040

7753 Service Ctr Dr
West Chester, OH 45069

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1003237470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 WHISPERING WAY",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667407",
            "telephone_number": "303-710-0515",
            "fax_number": "888-972-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7782 SERVICE CENTER DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692442",
            "telephone_number": "303-710-0515",
            "fax_number": "888-972-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY FIT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-710-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.