NPIMap

Organization Active NPI

Fit Therapy of Texas, LLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1285008342
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68993 Issued in TX
Legal business name
FIT THERAPY OF TEXAS, LLC
Practice address
19141 Stone Oak Pkwy
Suite 603
San Antonio, TX 78258-3366
Phone
(210) 495-3131
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Kenneth McClendon Jr.
Title
Owner
Phone
(210) 495-3131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 68993 TX Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X

Addresses

Primary practice location

19141 Stone Oak Pkwy
Suite 603
San Antonio, TX 78258-3366

Mailing address

19141 Stone Oak Pkwy
Suite 603
San Antonio, TX 78258-3366

National Provider Directory

National Provider Directory

Locations

19141 Stone Oak Pkwy
Ste 603
San Antonio, TX 78258
Phone (210) 495-3131

Practitioners & affiliated clinicians

Practitioners 6

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": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1285008342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY",
            "address_2": "SUITE 603",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY",
            "address_2": "SUITE 603",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583366",
            "telephone_number": "210-495-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT THERAPY OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-495-3131",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68993",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.