Organization Active NPI

Gymfit Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Waldorf, MD
National Provider Identifier
1093179947
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GYMFIT PHYSICAL THERAPY, LLC
Practice address
3317 Plaza Way
Waldorf, MD 20603-4862
Phone
(301) 637-2574
Fax
(301) 576-5043
NPI assigned
Apr 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Mr. Cameron Jones, PT
Title
Owner
Phone
(301) 637-2574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3317 Plaza Way
Waldorf, MD 20603-4862

Mailing address

150 Post Office Rd
2351
Waldorf, MD 20604-7599
Phone (301) 943-3613

National Provider Directory

National Provider Directory

Locations

150 Post Office Rd
Unit 2351
Waldorf, MD 20604

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1093179947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 POST OFFICE RD",
            "address_2": "2351",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206047599",
            "telephone_number": "301-943-3613",
            "fax_number": "301-576-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 PLAZA WAY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034862",
            "telephone_number": "301-637-2574",
            "fax_number": "301-576-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYMFIT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-637-2574",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.