Grind4Fitness Training LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GRIND4FITNESS TRAINING LLC

Practice address

15651 W Jackson St
Goodyear, AZ 85338-6701

Phone

(773) 967-0550

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Kayla Marshae Willis

Title

Owner

Phone

(773) 967-0550

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1194554360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15651 W JACKSON ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386701",
            "telephone_number": "773-967-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 W JACKSON ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386701",
            "telephone_number": "773-967-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIND4FITNESS TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-28",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "MARSHAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-967-0550"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Green, PT
• Valarie Brookes Green
• Anthony Eugene Greenidge, AZ LISAC - 15204
• Luciana Gregory
• Julia Annette Gresham, PA
• Marcia S. Guadagno
• Huri Pierre Guadarrama, FNP-C
• Marlana Nicole Guedea, NURSE PRACTITIONER
• Merlis Oliveros Guerra, ACNP
• Arjun Gupta, MBBS

• Physical Therapy Clinic/Center in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.