Foundation Fitness of Annandale

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

255A2300X Issued in VA

Legal business name

FOUNDATION FITNESS OF ANNANDALE

Practice address

7232 Columbia Pike
Annandale, VA 22003-3145

Phone

(703) 586-5833

NPI assigned

Jul 29, 2015

Organization subpart

Yes

Parent organization

FOUNDATION FITNESS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Patrick Stephen Bresley, CPT

Title

Owner

Phone

(703) 586-5833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1275918435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 COLUMBIA PIKE",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033145",
            "telephone_number": "703-586-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 COLUMBIA PIKE",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033145",
            "telephone_number": "703-586-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FITNESS OF ANNANDALE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATION FITNESS LLC",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "BRESLEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-586-5833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "255A2300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Cristina Flanigan, RDN
• Focus Dental Specialists (Prestige Dental Specialists)
• Matthew Joseph Fontaine, D.C
• Cameron Forbes
• John Paul Forest, DDS DC
• Foundation Fitness of Annandale (Foundation Fitness)
• Annemarie C Francis, ATC
• Molly Franzonello, CNM
• Jennifer Denise Free, M.ED. CCC-SLP/L
• Alexis Freedman

• Athletic Trainer in Annandale, VA
• Providers in Annandale, VA by specialty
• Athletic Trainer in Virginia

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