Active NPI
Fit Club Inc
- Orthopedic Physical Therapist
- New York, NY
National Provider Identifier
1225570807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 037024
- Legal business name
- FIT CLUB INC
- Practice address
- 164 W 25TH St
Ground Floor
New York, NY 10001-7400 - Phone
- (646) 875-8348
- NPI assigned
- Nov 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kellen Scantlebury, PT, DPT, CSCS
- Title
- Owner
- Phone
- (516) 849-7989
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 037024 | NY | Primary |
Addresses
Primary practice location
164 W 25TH St
Ground Floor
New York, NY 10001-7400
Mailing address
3243 44TH St Apt 1F
Astoria, NY 11103-2339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
203 Berry St
Brooklyn, NY 11249
Phone (646) 875-8348
164 W 25th St
New York, NY 10001
Phone (646) 875-8348
153 W 27th St
Ste 1201
New York, NY 10001
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hauppauge, NY
- NPI 1326477498
-
- Physical Therapist
- New York, NY
- NPI 1396448221
-
- Physical Therapist
- Bethpage, NY
- NPI 1992424287
-
- Physical Therapist
- Astoria, NY
- NPI 1841015948
-
- Physical Therapist
- Brooklyn, NY
- NPI 1194394676
-
- Physical Therapist
- Bayside, NY
- NPI 1609590512
-
- Physical Therapist
- Brooklyn, NY
- NPI 1912600420
-
- Physical Therapist
- Brooklyn, NY
- NPI 1558995480
-
- Orthopedic Physical Therapist
- Brooklyn, NY
- NPI 1265208326
-
- Orthopedic Physical Therapist
- Brooklyn, NY
- NPI 1871241463
-
- Orthopedic Physical Therapist
- New York, NY
- NPI 1659074193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479081600000",
"number": "1225570807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3243 44TH ST APT 1F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111032339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 W 25TH ST",
"address_2": "GROUND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017400",
"telephone_number": "646-875-8348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIT CLUB INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-14",
"last_updated": "2016-11-14",
"status": "A",
"authorized_official_last_name": "SCANTLEBURY",
"authorized_official_first_name": "KELLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-849-7989",
"authorized_official_credential": "PT, DPT, CSCS"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "037024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.