Organization Active NPI

Competitive Fitness, LLC

Doing business as Competitive Fitness & Physical Therapy

  • Physical Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1063446011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-687 Issued in ID
Legal business name
COMPETITIVE FITNESS, LLC
Doing business as
Competitive Fitness & Physical Therapy
Practice address
1321 W Northwood Center CT
Suite B
Coeur D Alene, ID 83814-4944
Phone
(208) 665-7055
Fax
(208) 665-7093
NPI assigned
Jul 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Fred J. Weber, MS, PT
Title
Physical Therapist / Owner
Phone
(208) 665-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-687 ID Primary

Addresses

Primary practice location

1321 W Northwood Center CT
Suite B
Coeur D Alene, ID 83814-4944

Mailing address

PO Box 758
Post Falls, ID 83877-0758
Phone (208) 773-6400

Other names 1

  • Competitive Fitness & Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063446011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838770758",
            "telephone_number": "208-773-6400",
            "fax_number": "208-773-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 W NORTHWOOD CENTER CT",
            "address_2": "SUITE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144944",
            "telephone_number": "208-665-7055",
            "fax_number": "208-665-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPETITIVE FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "208-665-7055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Competitive Fitness & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.