Organization Active NPI

Medical Fitness Specialists, LLC

  • Physical Therapy Clinic/Center
  • Sarasota, FL
National Provider Identifier
1386939346
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6826 Issued in FL
Legal business name
MEDICAL FITNESS SPECIALISTS, LLC
Practice address
1003 N Orange Ave
Suite A2
Sarasota, FL 34236-4102
Phone
(941) 906-1998
Fax
(941) 906-8944
NPI assigned
Jun 17, 2011
Last updated
Jun 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Alvin Walter Jenkins, P.T.NPI 1942288196
Title
Managing Member
Phone
(941) 906-1998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 6826 FL Primary

Addresses

Primary practice location

1003 N Orange Ave
Suite A2
Sarasota, FL 34236-4102

Mailing address

1003 N Orange Ave
Suite A2
Sarasota, FL 34236-4102
Phone (941) 906-1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110923000168 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547431538 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

1003 N Orange Ave
Ste A2
Sarasota, FL 34236
Phone (941) 906-1998

1470 Blvd of the Arts
Sarasota, FL 34236
Phone (941) 906-1998

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1386939346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 N ORANGE AVE",
            "address_2": "SUITE A2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364102",
            "telephone_number": "941-906-1998",
            "fax_number": "941-906-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N ORANGE AVE",
            "address_2": "SUITE A2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364102",
            "telephone_number": "941-906-1998",
            "fax_number": "941-906-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FITNESS SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "941-906-1998",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "6826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.