NPIMap

Organization Active NPI

Rep Fitness

  • Health Educator
  • Oak Harbor, WA
National Provider Identifier
1255796843
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
REP FITNESS
Practice address
632 Erin Park Rd
Suite a
Oak Harbor, WA 98277-2705
Phone
(360) 240-9231
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Mr. Tyson J Van Dam
Title
Owner
Phone
(360) 240-9231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

632 Erin Park Rd
Suite a
Oak Harbor, WA 98277-2705

Mailing address

632 Erin Park Rd
Suite a
Oak Harbor, WA 98277-2705
Phone (360) 240-9231

National Provider Directory

National Provider Directory

Locations

632 Erin Park Rd
#A
Oak Harbor, WA 98277
Phone (360) 240-9231

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1255796843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 ERIN PARK RD",
            "address_2": "SUITE A",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772705",
            "telephone_number": "360-240-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 ERIN PARK RD",
            "address_2": "SUITE A",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772705",
            "telephone_number": "360-240-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REP FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "VAN DAM",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-240-9231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.