The Fit Med Experience

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227003757 Issued in IL

Legal business name

THE FIT MED EXPERIENCE

Doing business as

Fit Med

Practice address

6392 Linden Rd
Rockford, IL 61109-2816

Phone

(815) 540-8368

NPI assigned

Jan 5, 2011

Last updated

Jan 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Scott Mills, BS, CSCS, LMT

Title

Licensed Medical Massage Therapist

Phone

(815) 540-8368

Specialties & licenses 1

Addresses

Other names 1

• FIT MED Doing business as

Locations

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1194029132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082907",
            "telephone_number": "815-540-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6392 LINDEN RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611092816",
            "telephone_number": "815-540-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FIT MED EXPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "LICENSED MEDICAL MASSAGE THERAPIST",
        "authorized_official_telephone_number": "815-540-8368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, CSCS, LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227003757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIT MED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Board of Trustees of the University of Illinois (UI Health Mile Square Health Center L. P. Johnson Rockford)
• The Board of Trustees of the University of Illinois (UI Health Mile Square Health Center L P Johnson Rockord)
• The Board of Trustees of the University of Illinois (Uic Merit)
• The Bridge Clinic of Rockofrd
• The Elitist Group
• The Inspiration and Life Enhancement
• The Lotus Center
• Tabitha Mae Theiler, RST, CST
• Timothy Allen Theisen, DDS, MS
• Theodore S. Ingrassia, III, M.D.S.C.

• Massage Therapist in Rockford, IL
• Providers in Rockford, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.