1St Step Fitness

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

1ST STEP FITNESS

Practice address

95 Riverport Dr
Jackson, TN 38301-5748

Phone

(731) 298-4506

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Jonathan Lee ParkerNPI 1538617055

Title

Owner

Phone

(731) 298-4506

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Parker

  • Specialist
  • Jackson, TN
  • NPI 1538617055
  NPD (past) Authorized official

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1265976963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 RIVERPORT DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015748",
            "telephone_number": "731-298-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 RIVERPORT DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015748",
            "telephone_number": "731-298-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST STEP FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-298-4506"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3 B Labs (Professional Medical Partners)
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• 45 Urgent Care, P.C.
• A & a Medical, LLC

• Athletic Trainer in Jackson, TN
• Providers in Jackson, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.