Fitness Forum Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FITNESS FORUM SERVICES LLC

Practice address

110 Liberty St
Suite 1300
Brockton, MA 02301-5521

Phone

(508) 580-0144

Fax

(508) 580-0449

NPI assigned

Mar 7, 2006

Last updated

May 27, 2008By 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. James Smith

Title

Ceo

Phone

(315) 477-0888

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 5

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.

• Danielle Auclair, MPT, DPT

  • Physical Therapist
  • Brockton, MA
  • NPI 1770505240
  NPD (past)
• Jodi Bandola, P.T.

  • Physical Therapist
  • Brockton, MA
  • NPI 1417114661
  NPD (past)
• Jack E. Curtis Jr.

  • Physical Therapist
  • Brockton, MA
  • NPI 1598086183
  NPD (past)
• Michael J. Rourke, M.S.P.T.

  • Physical Therapist
  • Brockton, MA
  • NPI 1124096052
  NPD (past)
• Armand Thibodeau, D.P.T.

  • Physical Therapist
  • Brockton, MA
  • NPI 1386806537
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1205803558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E CENTER ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791824",
            "telephone_number": "508-559-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LIBERTY ST",
            "address_2": "SUITE 1300",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015521",
            "telephone_number": "508-580-0144",
            "fax_number": "508-580-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS FORUM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-477-0888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE",
            "identifier": "623323",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9786384",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "613818",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Andrew Firgau, RPH
• Barry M Fisch, O.D.
• Courtney Fischer, MA
• Scott Fish, PH.D.
• Jenell Fisher, R.N.
• Edward Fitzgerald
• Paul Martin Fitzgerald, DMD
• Kimberly Flaherty, DC
• Mary Flaherty, LICSW
• Kathleen Anne Flannery

• Physical Therapist in Brockton, MA
• Providers in Brockton, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.