Committed Fitness Spine, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COMMITTED FITNESS SPINE, LLC

Practice address

6298 Veterans Pkwy
Suite 5B
Columbus, GA 31909-6258

Phone

(706) 320-5456

Fax

(706) 320-5484

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Brian S McCluskey, PH.D.

Title

Ceo

Phone

(706) 322-7762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295942282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8068",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088068",
            "telephone_number": "706-320-5456",
            "fax_number": "706-320-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 VETERANS PKWY",
            "address_2": "SUITE 5B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096258",
            "telephone_number": "706-320-5456",
            "fax_number": "706-320-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTED FITNESS SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-322-7762",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.