Undeniably Fit, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

UNDENIABLY FIT, LLC

Doing business as

UFIT Thrive

Practice address

171 Technology Dr
Suite 700
Boalsburg, PA 16827-1635

Phone

(323) 209-9943

NPI assigned

Jan 3, 2015

Last updated

Jan 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Allen Jackson

Title

Co-Founder

Phone

(323) 209-9943

Specialties & licenses 1

Addresses

Other names 1

• UFIT Thrive Doing business as

Locations

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

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420243200000",
    "number": "1275921975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 TECHNOLOGY DR",
            "address_2": "SUITE 700",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271635",
            "telephone_number": "323-209-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TECHNOLOGY DR",
            "address_2": "SUITE 700",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271635",
            "telephone_number": "323-209-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDENIABLY FIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-03",
        "last_updated": "2015-01-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "323-209-9943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UFIT Thrive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Stafford
• Maria Stevens
• Ralph Robert Stoehr III, PT
• Karen Lee Tempest, DNP, CRNP
• Michael D. Tinkelman, O.D.
• Andrew Walker, DC
• Kerry Ellen Warburton, R.N.
• Amanda Dawn Woodle Stewart

• Point of Service in Boalsburg, PA
• Providers in Boalsburg, PA by specialty
• Point of Service in Pennsylvania

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