Active NPI
Fitness for Function, LLC
- Physical Therapist
- Poncha Springs, CO
National Provider Identifier
1124678545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FITNESS FOR FUNCTION, LLC
- Practice address
- 217 Summitview LN
Poncha Springs, CO 81201-9254 - Phone
- (303) 249-9718
- NPI assigned
- Sep 17, 2019
- 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
- Leslie S Duran, MSPT
- Title
- Physical Therapist, Owner
- Phone
- (303) 249-9718
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
217 Summitview LN
Poncha Springs, CO 81201-9254
Mailing address
PO Box 1348
Poncha Springs, CO 81242-1006
Phone (303) 249-9718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
301 Oak St
Unit B
Salida, CO 81201
Phone (303) 249-9718
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Poncha Springs, CO
- NPI 1619137908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568678400000",
"number": "1124678545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1348",
"city": "PONCHA SPRINGS",
"state": "CO",
"postal_code": "812421006",
"telephone_number": "303-249-9718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 SUMMITVIEW LN",
"city": "PONCHA SPRINGS",
"state": "CO",
"postal_code": "812019254",
"telephone_number": "303-249-9718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITNESS FOR FUNCTION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-17",
"last_updated": "2019-09-17",
"status": "A",
"authorized_official_last_name": "DURAN",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
"authorized_official_telephone_number": "303-249-9718",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poncha Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.