Ak Fitness Health Center Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Longview, TX
NPI 1306975412 · NPPES record last updated Jan 19, 2010
Key facts
- NPI
- 1306975412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- AK FITNESS HEALTH CENTER INC.
- Practice address
- 2903 Judson Rd
Longview, TX 75605-1803 - Phone
- (903) 663-8848
- Fax
- (903) 663-6347
- NPI assigned
- Mar 5, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- A K FITNESS HEALTH CENTER INC.
Authorized official
- Name
- Mr. Joseph H Anders, L.P.T
- Title
- Owner
- Phone
- (903) 663-6332
Practitioners 3
-
Brianne Haley, DPT
-
Brandi M. Colquitt, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Part of
- Ak Fitness Health Ctr Inc
Locations
2903 Judson Rd
Longview, TX 75605
Phone (903) 235-5468
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
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
- dba,AK FITNESS THERAPY CENTER AND PROGRESSIVE MEDICAL
Other providers in Longview, TX
- Nebolisa Johnpaul Agupusi
- Adwoa Agyei
- Kwame Boakye Agyeman
- Ahm Action Home Health, LP
- Wen-Chen Ai
- Gerald J Akpassa
- Bashar Al Aboosi
- Fred Lynn Albert
- Albertsons LLC
- Albertsons LLC
All providers in Longview, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.