Organization Active NPI

Medfit LLC

  • Physical Therapy Clinic/Center
  • Irmo, SC
National Provider Identifier
1407138472
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
00962 Issued in SC
Legal business name
MEDFIT LLC
Practice address
10071 Broad River Rd
Irmo, SC 29063-2381
Phone
(803) 445-1069
Fax
(803) 445-1097
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Mrs. Robin Kruger, PT
Title
Director of Therapy
Phone
(803) 445-1069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 00962 SC Primary

Addresses

Primary practice location

10071 Broad River Rd
Irmo, SC 29063-2381

Mailing address

10071 Broad River Rd
Irmo, SC 29063-2381
Phone (803) 445-1069

National Provider Directory

National Provider Directory

Locations

10071 Broad River Rd
Irmo, SC 29063
Phone (803) 445-1069

10071 Broad River Rd
Ste B
Irmo, SC 29063
Phone (803) 445-1069

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1407138472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10071 BROAD RIVER RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632381",
            "telephone_number": "803-445-1069",
            "fax_number": "803-445-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10071 BROAD RIVER RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632381",
            "telephone_number": "803-445-1069",
            "fax_number": "803-445-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY",
        "authorized_official_telephone_number": "803-445-1069",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "00962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.