Gym Rat Performance and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GYM RAT PERFORMANCE AND WELLNESS LLC

Practice address

4500 Red Arrow Hwy Unit I
Stevensville, MI 49127-8329

Phone

(269) 999-4508

NPI assigned

May 28, 2024

Last updated

May 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Morris, PT, DPT, CSCSNPI 1497354377

Title

Owner/Physical Therapist

Phone

(269) 999-4508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• James Morris, PT, DPT, CSCS

  • Physical Therapist
  • Stevensville, MI
  • NPI 1497354377
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1326888397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 LAKE CT",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851632",
            "telephone_number": "269-999-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 RED ARROW HWY UNIT I",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491278329",
            "telephone_number": "269-999-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYM RAT PERFORMANCE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "269-999-4508",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amante Jordan Gonzalez, LLPC
• Adam Keith Gourley, PHARMD
• Patrick William Graves, OD
• Lucas Gumper, PHARM.D.
• Brett Alan Guthrie
• Patrick Michael Hackett, DC
• Tracy Marie Hanson, PHARMD
• Wendy L Hays, NP
• Patrick T Hellner, DDS
• Henry D Lyon DDS PC (Emergency Dental)

• Physical Therapist in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.