Organization Active NPI

Ultimate Fitness

  • Specialist
  • Eugene, OR
National Provider Identifier
1598899973
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ULTIMATE FITNESS
Practice address
377 Coburg Rd
Suite D
Eugene, OR 97401-6127
Phone
(541) 915-3560
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kathryn Elizabeth Bronson, LMT, NCTMB
Title
Owner- Therapist-Trainer
Phone
(541) 915-3560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

377 Coburg Rd
Suite D
Eugene, OR 97401-6127

Mailing address

377 Coburg Rd
Suite D
Eugene, OR 97401-6127
Phone (541) 915-3560

National Provider Directory

National Provider Directory

Locations

377 Coburg Rd
Ste D
Eugene, OR 97401
Phone (541) 915-3560

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598899973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 COBURG RD",
            "address_2": "SUITE D",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016127",
            "telephone_number": "541-915-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 COBURG RD",
            "address_2": "SUITE D",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016127",
            "telephone_number": "541-915-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER- THERAPIST-TRAINER",
        "authorized_official_telephone_number": "541-915-3560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT, NCTMB"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.