NPIMap

Organization Active NPI

Fizkidz Fitness LLC

  • Peer Specialist
  • Ruskin, FL
National Provider Identifier
1306571377
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
FIZKIDZ FITNESS LLC
Practice address
1222 Brenton Leaf Dr
Ruskin, FL 33570-7991
Phone
(469) 445-6503
NPI assigned
Jul 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Jamal Rashad Jones
Title
Owner
Phone
(469) 445-6503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

1222 Brenton Leaf Dr
Ruskin, FL 33570-7991

Mailing address

1222 Brenton Leaf Dr
Ruskin, FL 33570-7991
Phone (469) 445-6503

National Provider Directory

National Provider Directory
Tax ID family
Fizkidz Fitness LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1306571377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 BRENTON LEAF DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335707991",
            "telephone_number": "469-445-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 BRENTON LEAF DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335707991",
            "telephone_number": "469-445-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIZKIDZ FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "RASHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-445-6503"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.