Fresh Fitness & Stretch Therapy

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

FRESH FITNESS & STRETCH THERAPY

Practice address

230 NE 175TH Ter
North Miami Beach, FL 33162-1764

Phone

(305) 731-0103

NPI assigned

Jun 9, 2019

Last updated

Dec 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan S Nicolas

Title

Ceo

Phone

(786) 559-1268

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1023677564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18117 BISCAYNE BLVD # 1061",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602535",
            "telephone_number": "786-559-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NE 175TH TER",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621764",
            "telephone_number": "305-731-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH FITNESS & STRETCH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-09",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-559-1268"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jon.nicolas@freshfitness.life",
            "affiliation": "N",
            "address_1": "230 NE 175th Ter",
            "city": "North Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331621764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frattini & Wated Inc (Elite Medical Wellness Center)
• Gisselle A Frattini, OT
• Frederick Ferguson MD PA
• Morton E Freiman, MD
• Cindy French
• Susan Fried, OTR
• Rena E Friedman, P.T., M.S., D.P.T.
• Steve Michael Friedman, DC
• Richard S Friefeld, MD
• Chadley Decio Froes, MD

• Developmental Disabilities Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.