Tier 1 Fitness

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

TIER 1 FITNESS

Practice address

5921 Westfield Ave
Pennsauken, NJ 08110-1841

Phone

(856) 425-9220

NPI assigned

Sep 30, 2017

Last updated

Sep 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antwuan Dyer Jr.

Title

Member

Phone

(856) 425-9220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506729600000",
    "number": "1134639479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 WESTFIELD AVENUE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "08110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 WESTFIELD AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101841",
            "telephone_number": "856-425-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIER 1 FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-30",
        "last_updated": "2017-09-30",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "ANTWUAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "856-425-9220",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recreation Therapist in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.