Innerfit of Wetumpka, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INNERFIT OF WETUMPKA, LLC

Practice address

74186 Tallassee Hwy Ste B
Wetumpka, AL 36092-5644

Phone

(334) 514-2220

Fax

(334) 514-2221

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Robert M Tate Jr.

Title

Owner

Phone

(334) 270-1630

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1285961151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7088 UNIVERSITY CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176992",
            "telephone_number": "334-396-1400",
            "fax_number": "334-396-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74186 TALLASSEE HWY STE B",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360925644",
            "telephone_number": "334-514-2220",
            "fax_number": "334-514-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERFIT OF WETUMPKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-270-1630",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holtville Family Practice
• Hughston Clinic, PC
• Hughston Medical Group, PC
• Andrea Humber
• Heather K Hyde, CRNP
• Ivy Creek Home Health of Elmore, LLC
• Ivy Creek Medical Associates
• Ivy Creek Medical Equipment, LLC
• Ivy Creek of Elmore LLC
• Ivy Creek of Elmore LLC

• Physical Therapist in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.