NPIMap

Organization Active NPI

Miles of Fitness Personal Fitness Training Inc.

  • Athletic Trainer
  • Temple Hills, MD
National Provider Identifier
1073029443
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
400317804141 Issued in DC
Legal business name
MILES OF FITNESS PERSONAL FITNESS TRAINING INC.
Practice address
6427 Old Branch Ave
Temple Hills, MD 20748-2607
Phone
(301) 710-3215
NPI assigned
Dec 21, 2017
Last updated
Dec 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Miles Randall NewmanNPI 1740702513
Title
Owner
Phone
(301) 710-3215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 400317804141 DC Primary

Addresses

Primary practice location

6427 Old Branch Ave
Temple Hills, MD 20748-2607

Mailing address

6427 Old Branch Ave
Temple Hills, MD 20748-2607
Phone (301) 710-3215

National Provider Directory

National Provider Directory

Locations

6427 Old Branch Ave
Temple Hills, MD 20748
Phone (301) 710-3215

Practitioners & affiliated clinicians

Practitioners 1

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": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1073029443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6427 OLD BRANCH AVE",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482607",
            "telephone_number": "301-710-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6427 OLD BRANCH AVE",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482607",
            "telephone_number": "301-710-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES OF FITNESS PERSONAL FITNESS TRAINING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-710-3215"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "DC",
            "license": "400317804141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.