NPIMap

Organization Active NPI

Fit Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Frisco, TX
National Provider Identifier
1194167486
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1155693 Issued in TX
Legal business name
FIT PHYSICAL THERAPY, LLC
Practice address
279 Main St Ste 114
Suite 114
Frisco, TX 75034-4307
Phone
(214) 494-4643
Fax
(214) 494-4654
NPI assigned
Jul 27, 2013
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Dr. Leslie Anne Frater, PTNPI 1073803771
Title
President
Phone
(214) 494-4643

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
Physical Therapy Clinic/Center 261QP2000X 1155693 TX Primary

Addresses

Primary practice location

279 Main St Ste 114
Suite 114
Frisco, TX 75034-4307

Mailing address

279 Main St Ste 114
Suite 114
Frisco, TX 75034-4307
Phone (214) 494-4643

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131203000275 TX Part B Supplier - Clinic/Group Practice 3072749753 Receives reassigned benefits from 14 practitioners
Practice locations: Aubrey, TX; Frisco, TX

National Provider Directory

National Provider Directory

Locations

106 S Highway 377
Cross Roads, TX 76227
Phone (214) 494-4643

279 Main St
Ste 114
Frisco, TX 75036
Phone (214) 494-4643

5480 FM 423
Frisco, TX 75036

5480 FM 423
Ste 2100
Frisco, TX 75036
Phone (214) 494-4643

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1374883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1194167486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 MAIN ST STE 114",
            "address_2": "SUITE 114",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344307",
            "telephone_number": "214-494-4643",
            "fax_number": "214-494-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 MAIN ST STE 114",
            "address_2": "SUITE 114",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344307",
            "telephone_number": "214-494-4643",
            "fax_number": "214-494-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-27",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "FRATER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-494-4643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1155693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.