Physical Fitness, LLC

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Legal business name

PHYSICAL FITNESS, LLC

Practice address

249 W Main St
Physical Fitness
Branford, CT 06405-4048

Phone

(203) 488-5919

Fax

(203) 488-5946

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael Stephen Leonard Jr., BS

Title

Clinical Exercise Physiologist

Phone

(203) 488-5919

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1205109832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W MAIN ST",
            "address_2": "PHYSICAL FITNESS",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054048",
            "telephone_number": "203-488-5919",
            "fax_number": "203-488-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W MAIN ST",
            "address_2": "PHYSICAL FITNESS",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054048",
            "telephone_number": "203-488-5919",
            "fax_number": "203-488-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CLINICAL EXERCISE PHYSIOLOGIST",
        "authorized_official_telephone_number": "203-488-5919",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela A Peterson, DC, FACO
• Logan M Petit, MD
• Roseanna Petonito
• Alex Petri, LMFT
• Tierra Phillips
• Physical Therapy and Wellness Specialists, LLC
• Physical Therapy Services of Guilford LLC
• Physicians Alliance of Connecticut, LLC
• Riana Grace Picagli, M.S., CCC-SLP
• E. Steven Pickman, D.M.D.

• Clinical Exercise Physiologist in Branford, CT
• Providers in Branford, CT by specialty
• Clinical Exercise Physiologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.