Organization Active NPI

Maximum Fitness, LLC

  • Kinesiotherapist
  • Vacaville, CA
National Provider Identifier
1144871856
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
KinesiotherapistTaxonomy code 226300000X
Legal business name
MAXIMUM FITNESS, LLC
Doing business as
Maximum Fitness
Practice address
201 Main St
Vacaville, CA 95688-3905
Phone
(707) 447-0606
Fax
(707) 447-7684
NPI assigned
Sep 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Dr. David J Conner, DCNPI 1396820585
Title
Clinical Operations Director
Phone
(707) 310-2524

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)CodeLicenseStatePrimary
KinesiotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 226300000X Primary

Addresses

Primary practice location

201 Main St
Vacaville, CA 95688-3905

Mailing address

201 Main St
Vacaville, CA 95688-3905
Phone (707) 447-0606

Other names 1

  • Maximum Fitness Doing business as

National Provider Directory

National Provider Directory

Locations

201 Main St
Vacaville, CA 95688
Phone (707) 447-0606

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": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1144871856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAIN ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883905",
            "telephone_number": "707-447-0606",
            "fax_number": "707-447-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883905",
            "telephone_number": "707-447-0606",
            "fax_number": "707-447-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "707-310-2524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maximum Fitness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maximum Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.