NPIMap

Organization Active NPI

Foundation Fitness of Georgetown

  • Massage Therapist
  • Washington, DC
National Provider Identifier
1144500166
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
FOUNDATION FITNESS OF GEORGETOWN
Practice address
4380 Macarthur Blvd NW
Washington, DC 20007-2551
Phone
(202) 506-4999
NPI assigned
Aug 22, 2011
Organization subpart
Yes
Parent organization
FOUNDATION FITNESS OF ANNANDALEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Lance Letellier
Title
Owner
Phone
(703) 981-0895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

4380 Macarthur Blvd NW
Washington, DC 20007-2551

Mailing address

4380 Macarthur Blvd NW
Washington, DC 20007-2551
Phone (202) 506-4999

Other names 1

  • Foundation Fitness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foundation Fitness of Georgetown2 organizations share this tax ID, including this one
Part of
Foundation Fitness of Georgetown

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4380 MacArthur Blvd NW
Washington, DC 20007
Phone (202) 506-4999

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": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1144500166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 MACARTHUR BLVD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072551",
            "telephone_number": "202-506-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 MACARTHUR BLVD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072551",
            "telephone_number": "202-506-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FITNESS OF GEORGETOWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATION FITNESS OF ANNANDALE",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "LETELLIER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-981-0895"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.