Organization Active NPI

Fit Therapy, LLC

  • Physical Therapist
  • Conyers, GA
National Provider Identifier
1144842295
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FIT THERAPY, LLC
Practice address
2008 Eastview Parkway
Suite 150
Conyers, GA 30013
Phone
(678) 555-0000
NPI assigned
May 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Dr. Jermara Brea Williams-Cockburn, DPT
Title
Owner
Phone
(770) 679-8382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2008 Eastview Parkway
Suite 150
Conyers, GA 30013

Mailing address

2008 Eastview Pkwy Ste 150
Conyers, GA 30013-5781
Phone (770) 679-8382

National Provider Directory

National Provider Directory

Locations

2008 Eastview Pkwy
Ste 150
Conyers, GA 30013
Phone (678) 555-0000

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1144842295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 EASTVIEW PKWY STE 150",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135781",
            "telephone_number": "770-679-8382",
            "fax_number": "770-679-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 EASTVIEW PARKWAY",
            "address_2": "SUITE 150",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "678-555-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-COCKBURN",
        "authorized_official_first_name": "JERMARA",
        "authorized_official_middle_name": "BREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-679-8382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.