Active NPI
Fitness Quest-Boca Grande LLC
- Physical Therapy Clinic/Center
- Boca Grande, FL
National Provider Identifier
1063600583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- FITNESS QUEST-BOCA GRANDE LLC
- Practice address
- 280 Park Avenue
Boca Grande, FL 33921 - Phone
- (941) 964-2300
- Fax
- (941) 964-2320
- NPI assigned
- Oct 10, 2007
- 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
- Mackenzie M Bartruff
- Title
- Vice-President
- Phone
- (941) 964-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
280 Park Avenue
Boca Grande, FL 33921
Mailing address
3657 Cortez Rd W Ste 110
Bradenton, FL 34210-3171
Phone (941) 964-2300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Sarasota, FL
- NPI 1346256575
-
- Physical Therapist
- Boca Grande, FL
- NPI 1477884005
-
- Orthopedic Physical Therapist
- Port Charlotte, FL
- NPI 1902058688
-
- Physical Therapist
- Olympia, WA
- NPI 1700065729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712620800000",
"number": "1063600583",
"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": "941-964-2300",
"fax_number": "941-964-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 PARK AVENUE",
"city": "BOCA GRANDE",
"state": "FL",
"postal_code": "33921",
"telephone_number": "941-964-2300",
"fax_number": "941-964-2320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITNESS QUEST-BOCA GRANDE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-10",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "BARTRUFF",
"authorized_official_first_name": "MACKENZIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "941-964-2300"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Grande, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.