Organization Active NPI

Life Changes Fitness, Inc

  • Physical Therapy Clinic/Center
  • Marion, IN
National Provider Identifier
1427649482
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LIFE CHANGES FITNESS, INC
Practice address
1107 N Forest Ave
Marion, IN 46952-1823
Phone
(765) 664-2222
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Dr. Kandy Akers, D.M.
Title
Owner
Phone
(765) 603-8112

Specialties & licenses 1

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

Addresses

Primary practice location

1107 N Forest Ave
Marion, IN 46952-1823

Mailing address

726 S Lincoln Blvd
Marion, IN 46953-2524
Phone (765) 664-4742

Other names 1

  • Anytime Fitness Doing business as

National Provider Directory

National Provider Directory

Locations

726 S Lincoln Blvd
Marion, IN 46953

1107 N Forest Ave
Marion, IN 46952
Phone (765) 664-2222

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1427649482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 S LINCOLN BLVD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469532524",
            "telephone_number": "765-664-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N FOREST AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521823",
            "telephone_number": "765-664-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES FITNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "KANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-603-8112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anytime Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.