Fit Core Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT008166 Issued in GA

Legal business name

FIT CORE PHYSICAL THERAPY, INC.

Practice address

4779 S Atlanta Rd SE Ste 200
Atlanta, GA 30339-1565

Phone

(404) 479-1739

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Barbara Vaughan, DPTNPI 1700964939

Title

Founder/Owner

Phone

(404) 664-9334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Vaughan, D.P.T.

  • Physical Therapist
  • Atlanta, GA
  • NPI 1700964939
  Medicare reassignment Care Compare group Authorized official
• Adria Wofford, PT, DPT

  • Physical Therapist
  • Woodstock, GA
  • NPI 1871268607
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1225416100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4779 S ATLANTA RD SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303391565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4779 S ATLANTA RD SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303391565",
            "telephone_number": "404-479-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT CORE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "404-664-9334",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT008166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariya A. Fishman, M.D.
• Michael Lee Fishman, M.D.
• Betty Fisk, APC
• William David Fisk
• Anthony J Fister, MD
• Fit Wellness LLC
• Robin Lee Fitch, M.S.,M.DIV.,LPC
• Starla D Fitch, MD
• Taylor Fitch, MD, MPH
• Michael Q. Fite, M.D.

• Physical Therapy Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.