The Gym Fitness Center, LLC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

THE GYM FITNESS CENTER, LLC

Practice address

4290 Miller Rd Ste 4
Flint, MI 48507-1283

Phone

(810) 285-9765

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Elise Candela

Title

Owner

Phone

(810) 577-3129

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vinson Carl Candela

  • Athletic Trainer
  • Flint, MI
  • NPI 1972196285
  NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1326630344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 GRANT CIR",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208100",
            "telephone_number": "810-577-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 MILLER RD STE 4",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071283",
            "telephone_number": "810-285-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GYM FITNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "CANDELA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-577-3129"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Dental Depot Christopher W Ford DDS
• The Digestive Disease Institute, P.C.
• The Digestive Endoscopy Center of Michigan LLC
• The Digestive Endoscopy Center of Michigan LLC
• The Disability Network
• The House of Emmanuel, LLC
• The Made Institute
• The Medical Team, Inc.
• The Preventive and Family Care Center of Genesee County PC
• The Serenity House of Flint

• Athletic Trainer in Flint, MI
• Providers in Flint, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.