Organization Active NPI

Fettle & Fit PLLC

  • Physical Therapy Clinic/Center
  • Richmond, VA
National Provider Identifier
1346856754
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FETTLE & FIT PLLC
Practice address
9211 Forest Hill Ave Ste 103
Richmond, VA 23235-6874
Phone
(804) 985-1234
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Dr. Casey M Smith, PT DPT WCS
Title
Owner
Phone
(804) 985-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9211 Forest Hill Ave Ste 103
Richmond, VA 23235-6874

Mailing address

9211 Forest Hill Ave Ste 103
Richmond, VA 23235-6874
Phone (804) 985-1234

National Provider Directory

National Provider Directory

Locations

9211 Forest Hill Ave
Ste 204
Richmond, VA 23235
Phone (757) 296-0800

9211 Forest Hill Ave
Ste 103
Richmond, VA 23235
Phone (757) 906-3896

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1346856754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 FOREST HILL AVE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356874",
            "telephone_number": "804-985-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 FOREST HILL AVE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356874",
            "telephone_number": "804-985-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETTLE & FIT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-985-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT DPT WCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.