Active NPI
Fitness Designs Physical Therapy and Sports Rehab LLC
- Physical Therapist
- Glen Carbon, IL
National Provider Identifier
1144504754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070006305
- Legal business name
- FITNESS DESIGNS PHYSICAL THERAPY AND SPORTS REHAB LLC
- Practice address
- 16 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502 - Phone
- (618) 656-1122
- Fax
- (618) 656-1171
- NPI assigned
- Sep 30, 2011
- Last updated
- Dec 6, 2011
- 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
- Christopher Pifer, M.S.P.T.
- Title
- Owner
- Phone
- (618) 656-1122
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 | 070006305 | IL | Primary |
Addresses
Primary practice location
16 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Mailing address
16 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Phone (618) 656-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16 Ginger Creek Pkwy
Glen Carbon, IL 62034
Phone (618) 656-1122
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Glen Carbon, IL
- NPI 1407861065
-
- Hand Occupational Therapist
- Glen Carbon, IL
- NPI 1639295827
-
- Physical Therapist
- Bunker Hill, IL
- NPI 1639352255
-
- Athletic Trainer
- Glen Carbon, IL
- NPI 1104916915
-
- Physical Therapist
- Collinsville, IL
- NPI 1619038643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1144504754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 GINGER CREEK PKWY",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343502",
"telephone_number": "618-656-1122",
"fax_number": "618-656-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 GINGER CREEK PKWY",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343502",
"telephone_number": "618-656-1122",
"fax_number": "618-656-1171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITNESS DESIGNS PHYSICAL THERAPY AND SPORTS REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-30",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "PIFER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-656-1122",
"authorized_official_credential": "M.S.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070006305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.