Phyt for Function LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

0013293 Issued in OH

Legal business name

PHYT FOR FUNCTION LLC

Practice address

5170 Hudson Dr
Hudson, OH 44236-3797

Phone

(330) 614-7498

NPI assigned

Dec 29, 2017

Organization subpart

No

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

Authorized official

Name

Nicholas Sanders

Title

PT/Owner

Phone

(330) 718-6445

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1245747203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 MAURO CIR SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 HUDSON DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363797",
            "telephone_number": "330-614-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYT FOR FUNCTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "330-718-6445"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "0013293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Hudson, OH
• Providers in Hudson, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.