Fit Sports, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

05001715A Issued in IN

Legal business name

FIT SPORTS, LLC

Practice address

11900 N Pennsylvania St
Carmel, IN 46032

Phone

(317) 679-2809

Fax

(317) 569-8572

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bradley A Smith, P.T.

Title

President

Phone

(317) 679-2809

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brown Bag Management Former legal business name

Locations

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1598916645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 N. PENNSYLVANIA ST. SUITE 203",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-679-2809",
            "fax_number": "317-569-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 N PENNSYLVANIA ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-679-2809",
            "fax_number": "317-569-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT SPORTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-679-2809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "05001715A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER, PHYSICAL THERAPIST",
            "identifier": "1043312911",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown Bag Management",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashley Fish, RN
• Jennifer Lyn Fish, M.A., CCC-SLP
• Elise Fisher
• Mary Sue Fisher, PHARM.D.
• Nikole R. Fisher, MSW, LCSW
• Tayler Fitts, DPT
• Edward Brice Fitzgerald, M.D.
• Thomas Flaa
• Rebecca Susan Flack, RN, L.AC.
• Laura Flanagan, SLP

• Specialist in Carmel, IN
• Providers in Carmel, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.