Fitness Quest Englewood LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FITNESS QUEST ENGLEWOOD LLC

Practice address

2828 S McCall Rd
Unit 40
Englewood, FL 34224-7791

Phone

(941) 916-5702

NPI assigned

Jan 3, 2013

Organization subpart

No

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

Authorized official

Name

Mackenzie Bartruff

Title

Coo

Phone

94191465702

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1245577709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BOBCAT VILLAGE CENTER RD",
            "address_2": "SUITE C",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S MCCALL RD",
            "address_2": "UNIT 40",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342247791",
            "telephone_number": "941-916-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS QUEST ENGLEWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "BARTRUFF",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "94191465702"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.