Team Body Fitness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TEAM BODY FITNESS LLC

Practice address

5181 Mariner Blvd
Spring Hill, FL 34609-1834

Phone

(352) 686-4660

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Ronald Samaniego

Title

DPT

Phone

(224) 368-7133

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: drron@activelifechicagopt.com

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1487308979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11457 EXMORE ST",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5181 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091834",
            "telephone_number": "352-686-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM BODY FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "SAMANIEGO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "224-368-7133"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12184154",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DRRON@ACTIVELIFECHICAGOPT.COM",
            "affiliation": "N",
            "address_1": "5181 Mariner Blvd",
            "city": "Spring Hill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346091834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalie Ann Tarr
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• Kristin Rogers Taylor, M.S. CCC-SLP
• Jessica Lindsey Tayon, APRN
• Jennifer Tchadjeu
• Team Goldunn, Inc
• Anay Tejeda, COTA
• Tiffany Marie Tejedor, APRN
• Tender Care Centers, Inc.
• Tender Care Medical Services, Inc.

• Physical Therapist in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.