Fitness Forum PT

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

FITNESS FORUM PT

Practice address

4994 W Seneca Tpke
Syracuse, NY 13215-2279

Phone

(315) 469-5990

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Adam L Shopiro

Title

DPR

Phone

(315) 469-5990

Specialties & licenses 1

Addresses

Practitioners 1

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

• James Fisher, P.T.

  • Physical Therapist
  • Barneveld, NY
  • NPI 1255392965
  NPD

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1568899300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 W SENECA TPKE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 W SENECA TPKE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152279",
            "telephone_number": "315-469-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS FORUM PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "SHOPIRO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DPR",
        "authorized_official_telephone_number": "315-469-5990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Robin Fisher, PNP
• Kyle Fisk
• Christine Fiske, RN
• Laurie Ann Fitch, R.N.
• Fitness Forum Physical Therapy, PC
• Jennifer Fitzgerald
• Lena Martha Fitzgerald, LCSW
• Michael A Fitzgerald, MD
• Michael G Fitzgerald, M.D.
• Shavonna Fitzgerald, LCSW

• Exclusive Provider Organization in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.