Organization Active NPI

Fithab LLC

  • Physical Therapy Clinic/Center
  • St Pete Beach, FL
National Provider Identifier
1063501484
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
EXEMPTION# HCC1162 Issued in FL
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

Updated by the provider on Nov 14, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260109003415 FL Part B Supplier - Clinic/Group Practice 3476039363 Practice locations: St Pete Beach, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.