Fit for Life Physical Theray, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FIT FOR LIFE PHYSICAL THERAY, LLC

Practice address

41 Terrill Park Dr Unit a
Concord, NH 03301-5258

Phone

(978) 767-3271

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Roswell Childs, DPTNPI 1346587664

Title

Owner/Physical Therapist

Phone

(978) 767-3271

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roswell Childs, DPT

  • Physical Therapist
  • Concord, NH
  • NPI 1346587664
  NPD Authorized official

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1144837154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BLUFFS DR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033031579",
            "telephone_number": "978-767-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 TERRILL PARK DR UNIT A",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015258",
            "telephone_number": "978-767-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT FOR LIFE PHYSICAL THERAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "ROSWELL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "978-767-3271",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian S Fisher, PA
• Chaney Fisher
• Karin L Fisher, FNP
• Rebecca A Fisher, PA C
• Mary Ellen Fiske, M.D.
• Geoffrey M Fitzgerald, MD
• Helen J Fitzgerald, LMFT
• Joan Fitzgerald, R.D.H.
• Warren D Fitzgerald, PH.D.
• Della B. Flanagan, RDN, CDCES, BC-ADM

• Physical Therapy Clinic/Center in Concord, NH
• Providers in Concord, NH by specialty
• Physical Therapy Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.