Active NPI
Fit for Life Physical Therapy, Inc
- Physical Therapist
- Gainesville, FL
National Provider Identifier
1295892651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FIT FOR LIFE PHYSICAL THERAPY, INC
- Practice address
- 4343 W Newberry Rd
Suite 4
Gainesville, FL 32607-2817 - Phone
- (352) 373-6565
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gustaaf Lambert Vaes
- Title
- Owner Cfo
- Phone
- (352) 224-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4343 W Newberry Rd
Suite 4
Gainesville, FL 32607-2817
Mailing address
PO Box 357279
Gainesville, FL 32635-7279
Phone (352) 373-7984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930082178 | FL | DME Supplier - Independently-Practicing Physical Therapist | 2365438181 | Practice locations: Gainesville, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Fit for Life Physical Therapy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Ocala, FL
- NPI 1235266404
-
- Physical Therapist
- Lake City, FL
- NPI 1922135102
Locations
4343 Newberry Rd
Ste 4
Gainesville, FL 32607
Phone (352) 373-6565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1295892651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357279",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326357279",
"telephone_number": "352-373-7984",
"fax_number": "352-332-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 W NEWBERRY RD",
"address_2": "SUITE 4",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072817",
"telephone_number": "352-373-6565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIT FOR LIFE PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "VAES",
"authorized_official_first_name": "GUSTAAF",
"authorized_official_middle_name": "LAMBERT",
"authorized_official_title_or_position": "OWNER CFO",
"authorized_official_telephone_number": "352-224-2200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.