NPIMap

Organization Active NPI

Fitness Quest - Punta Gorda LLC

  • Physical Therapy Clinic/Center
  • Punta Gorda, FL
National Provider Identifier
1043220817
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FITNESS QUEST - PUNTA GORDA LLC
Practice address
530 E Olympia Ave
Suite 112
Punta Gorda, FL 33950-3838
Phone
(941) 575-7300
Fax
(941) 505-7301
NPI assigned
Aug 8, 2006
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Mackenzie Bartruff
Title
Coo
Phone
(941) 575-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

530 E Olympia Ave
Suite 112
Punta Gorda, FL 33950-3838

Mailing address

3657 Cortez Rd W Ste 110
Bradenton, FL 34210-3171
Phone (941) 575-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000730 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648237073 Receives reassigned benefits from 11 practitioners
Practice locations: Punta Gorda, FL

National Provider Directory

National Provider Directory

Locations

530 E Olympia Ave
#112
Punta Gorda, FL 33950
Phone (941) 575-7300

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1043220817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 CORTEZ RD W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103171",
            "telephone_number": "941-575-7300",
            "fax_number": "941-505-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E OLYMPIA AVE",
            "address_2": "SUITE 112",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503838",
            "telephone_number": "941-575-7300",
            "fax_number": "941-505-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS QUEST - PUNTA GORDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "BARTRUFF",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "941-575-7300"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.