NPIMap

Organization Active NPI

Ak Fitness Health Center Inc.

Doing business as dba,AK FITNESS THERAPY CENTER AND PROGRESSIVE MEDICAL

  • Durable Medical Equipment & Medical Supplies
  • Longview, TX
National Provider Identifier
1306975412
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AK FITNESS HEALTH CENTER INC.
Doing business as
dba,AK FITNESS THERAPY CENTER AND PROGRESSIVE MEDICAL
Practice address
2903 Judson Rd
Longview, TX 75605-1803
Phone
(903) 663-8848
Fax
(903) 663-6347
NPI assigned
Mar 5, 2007
Last updated
Jan 19, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
A K FITNESS HEALTH CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Mr. Joseph H Anders, L.P.TNPI 1548342504
Title
Owner
Phone
(903) 663-6332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2903 Judson Rd
Longview, TX 75605-1803

Mailing address

2903 Judson Rd
Longview, TX 75605-1803
Phone (903) 663-8845

Other names 1

  • dba,AK FITNESS THERAPY CENTER AND PROGRESSIVE MEDICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100607000083 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800926684 Receives reassigned benefits from 2 practitioners
Practice locations: Longview, TX
O20100930098782 TX DME Supplier - Independently-Practicing Physical Therapist 6800926684 Practice locations: Longview, TX

National Provider Directory

National Provider Directory
Part of
Ak Fitness Health Ctr Inc

Locations

2903 Judson Rd
Longview, TX 75605
Phone (903) 235-5468

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1306975412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051803",
            "telephone_number": "903-663-8845",
            "fax_number": "903-663-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051803",
            "telephone_number": "903-663-8848",
            "fax_number": "903-663-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK FITNESS HEALTH CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A K FITNESS HEALTH CENTER INC.",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-663-6332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba,AK FITNESS THERAPY CENTER AND PROGRESSIVE MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.

Verify at the official NPI Registry.