NPIMap

Organization Active NPI

Fit Physical Therapy

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1194054684
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2741 Issued in NC
Legal business name
FIT PHYSICAL THERAPY
Practice address
5318 Highgate Dr
Suite 134
Durham, NC 27713-6630
Phone
(919) 619-2376
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Ellen Roeber, PT, DPT
Title
Owner/PT
Phone
(919) 619-2376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2741 NC Primary

Addresses

Primary practice location

5318 Highgate Dr
Suite 134
Durham, NC 27713-6630

Mailing address

5318 Highgate Dr
Suite 134
Durham, NC 27713-6630
Phone (919) 619-2376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100209000754 NC Part B Supplier - Clinic/Group Practice 3870636087 Receives reassigned benefits from 6 practitioners
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

5318 Highgate Dr
Ste 134
Durham, NC 27713
Phone (919) 237-3802

Practitioners & affiliated clinicians

Practitioners 7

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": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1194054684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 HIGHGATE DR",
            "address_2": "SUITE 134",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136630",
            "telephone_number": "919-619-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 HIGHGATE DR",
            "address_2": "SUITE 134",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136630",
            "telephone_number": "919-619-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "ROEBER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "919-619-2376",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.

Verify at the official NPI Registry.