Organization Active NPI

Fit for Life Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Bellmore, NY
National Provider Identifier
1447322599
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
013149 Issued in NY
Legal business name
FIT FOR LIFE PHYSICAL THERAPY PC
Practice address
2473 Merrick Rd
Bellmore, NY 11710-5705
Phone
(516) 804-9078
Fax
(516) 804-9081
NPI assigned
Nov 14, 2006
Last updated
Feb 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Russell J Poker, PTNPI 1669544797
Title
Owner
Phone
(516) 804-9078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 013149 NY Primary

Addresses

Primary practice location

2473 Merrick Rd
Bellmore, NY 11710-5705

Mailing address

2473 Merrick Rd
Bellmore, NY 11710-5705
Phone (516) 804-9078

National Provider Directory

National Provider Directory

Locations

2471 Merrick Rd
Bellmore, NY 11710
Phone (516) 804-9078

2473 Merrick Rd
Bellmore, NY 11710
Phone (516) 679-2225

3051 Jericho Tpke
East Northport, NY 11731
Phone (516) 804-9078

1575 Hillside Ave
Ste 208
New Hyde Park, NY 11040
Phone (516) 352-6936

Practitioners & affiliated clinicians

Practitioners 3

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1447322599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105705",
            "telephone_number": "516-804-9078",
            "fax_number": "516-804-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105705",
            "telephone_number": "516-804-9078",
            "fax_number": "516-804-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT FOR LIFE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "POKER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-804-9078",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "013149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.