Active NPI
Fithab LLC
- Physical Therapy Clinic/Center
- St Pete Beach, FL
National Provider Identifier
1063501484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- EXEMPTION# HCC1162
- Legal business name
- FITHAB LLC
- Practice address
- 4615 Gulf Blvd Ste 116
St Pete Beach, FL 33706-2454 - Phone
- (727) 367-0075
- Fax
- (727) 367-0402
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol H Hollenbeck, P.T.
- Title
- Owner
- Phone
- (727) 365-6515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | EXEMPTION# HCC1162 | FL | Primary |
Addresses
Primary practice location
4615 Gulf Blvd Ste 116
St Pete Beach, FL 33706-2454
Mailing address
PO Box 468
St Petersburg, FL 33731-0468
Phone (727) 367-0075
Other names 1
- Fit For Life
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260109003415 | FL | Part B Supplier - Clinic/Group Practice | 3476039363 | Practice locations: St Pete Beach, FL |
National Provider Directory
National Provider DirectoryLocations
575 75th Ave
St Pete Beach, FL 33706
Phone (727) 367-0075
4615 Gulf Blvd
Ste 116
St Pete Beach, FL 33706
Phone (727) 367-0075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1063501484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337310468",
"telephone_number": "727-367-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 GULF BLVD STE 116",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "337062454",
"telephone_number": "727-367-0075",
"fax_number": "727-367-0402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "HOLLENBECK",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-365-6515",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "EXEMPTION# HCC1162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fit For Life",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Pete Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.