Organization Active NPI

Fitness for Function, LLC

  • Physical Therapist
  • Poncha Springs, CO
National Provider Identifier
1124678545
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Leslie S Duran, MSPTNPI 1619137908
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20251208002803 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446687974 Receives reassigned benefits from 1 practitioner
Practice locations: Salida, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.