Phoenix Fitness, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PHOENIX FITNESS, INC.

Practice address

1460 E Valley Rd
Suite 221
Basalt, CO 81621-8411

Phone

(970) 510-5121

Fax

(970) 510-5122

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Shawn Hunsberger

Title

President and Ceo

Phone

(970) 510-5121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1134482979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 E VALLEY RD",
            "address_2": "SUITE 221",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218411",
            "telephone_number": "970-510-5121",
            "fax_number": "970-510-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 E VALLEY RD",
            "address_2": "SUITE 221",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218411",
            "telephone_number": "970-510-5121",
            "fax_number": "970-510-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FITNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "HUNSBERGER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "970-510-5121"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Elias Persiko, M DIV., CACITI
• Katherine Peshek
• Peter Grotuss MD PC
• Elizabeth M Pettit, DPT
• Tomas Pevny, MD
• Barbro Anna Pilch, D.D.S.
• Karmen M Pittenger, MSW
• Connor Pokorney, PT, DPT
• Jody Powell
• Premiercare

• Rehabilitation Clinic/Center in Basalt, CO
• Providers in Basalt, CO by specialty
• Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.