Active NPI
Medfit LLC
- Physical Therapy Clinic/Center
- Irmo, SC
National Provider Identifier
1407138472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 00962
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- West Columbia, SC
- NPI 1710298831
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.