Get Fit by Journey Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GET FIT BY JOURNEY INC

Practice address

4101 Park Lake St
Orlando, FL 32803-5265

Phone

(407) 412-6453

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Mark Anthony Thelwell

Title

President

Phone

(407) 412-6453

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641081600000",
    "number": "1316617285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PARK LAKE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035265",
            "telephone_number": "407-412-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PARK LAKE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035265",
            "telephone_number": "407-412-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GET FIT BY JOURNEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A",
        "authorized_official_last_name": "THELWELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-412-6453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316617285",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.getfitbyjourney.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "4101 Park Lake St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328035265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.getfitbyjourney.com",
            "affiliation": "N",
            "endpointDescription": "Medical Laboratory",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Laboratory",
            "address_1": "4101 Park Lake St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328035265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alaine Joyce Gervais, M.A., CCC-SLP
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• Matthew Edward Gesualdi
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• Ali Ghadiri, DO
• Anusha Ghaffar, MD

• All providers in Orlando, FL
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.