NPIMap

Organization Active NPI

Fit 4 Life Personal Training & Physical Therapy, Inc.

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1225378391
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FIT 4 LIFE PERSONAL TRAINING & PHYSICAL THERAPY, INC.
Practice address
17419 Bridge Hill CT
Tampa, FL 33647-3599
Phone
(813) 907-7879
NPI assigned
Feb 26, 2013
Last updated
May 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Travis Monday
Title
President
Phone
(813) 907-7879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

17419 Bridge Hill CT
Tampa, FL 33647-3599

Mailing address

17419 Bridge Hill CT
Tampa, FL 33647-3599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130524000563 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022256478 Receives reassigned benefits from 6 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1225378391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17419 BRIDGE HILL CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17419 BRIDGE HILL CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473599",
            "telephone_number": "813-907-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT 4 LIFE PERSONAL TRAINING & PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "MONDAY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-907-7879"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.