Stretch Zone Fishers LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

STRETCH ZONE FISHERS LLC

Practice address

11398 Olio Rd
Fishers, IN 46037-7605

Phone

(317) 827-6833

Fax

(317) 344-3145

NPI assigned

Feb 28, 2024

Organization subpart

Yes

Parent organization

STRETCH ZONE FRANCHISING LLCAs reported in NPPES

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

Authorized official

Name

Mr. Spencer C Teeter

Title

General Manager

Phone

(317) 827-6833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1245096072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11398 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377605",
            "telephone_number": "317-827-6833",
            "fax_number": "317-344-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11398 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377605",
            "telephone_number": "317-827-6833",
            "fax_number": "317-344-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRETCH ZONE FISHERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STRETCH ZONE FRANCHISING LLC",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "TEETER",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "317-827-6833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Fishers, IN
• Providers in Fishers, IN by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.