NPIMap

Organization Active NPI

Forever Fit Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Crofton, MD
National Provider Identifier
1003636812
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FOREVER FIT PHYSICAL THERAPY & WELLNESS LLC
Practice address
2200 Defense Hwy Ste 202
Crofton, MD 21114-2927
Phone
(301) 783-0007
NPI assigned
Oct 15, 2024
Organization subpart
Yes
Parent organization
FOREVER FIT PHYSICAL THERAPY & WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Krista R Frederic, PT, MPTNPI 1952370777
Title
Owner
Phone
(301) 421-1125

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2200 Defense Hwy Ste 202
Crofton, MD 21114-2927

Mailing address

PO Box 356
Burtonsville, MD 20866-0356

National Provider Directory

National Provider Directory
Tax ID family
Forever Fit Physical Therapy Wellness LLC11 organizations share this tax ID, including this one
Part of
Forever Fit Physical Therapy Wellness LLC

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1003636812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208660356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY STE 202",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142927",
            "telephone_number": "301-783-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER FIT PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOREVER FIT PHYSICAL THERAPY & WELLNESS LLC",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "FREDERIC",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-421-1125",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.