Organization Active NPI

GMS Therapy and Fitness LLC

  • Physical Therapist
  • Park Hills, KY
National Provider Identifier
1619634771
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GMS THERAPY AND FITNESS LLC
Practice address
579 Irishrose LN
Park Hills, KY 41011-2850
Phone
(937) 269-5288
NPI assigned
Nov 23, 2021
Last updated
Nov 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Dr. Benjamin C Fannin, PT, DPTNPI 1528550258
Title
Owner/Physical Therapist
Phone
(937) 269-5288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

579 Irishrose LN
Park Hills, KY 41011-2850

Mailing address

579 Irishrose LN
Park Hills, KY 41011-2850
Phone (937) 269-5288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220131001408 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042603870 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Thomas, KY
O20220324000697 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042603870 Receives reassigned benefits from 2 practitioners
Practice locations: New Lebanon, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1619634771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 IRISHROSE LN",
            "city": "PARK HILLS",
            "state": "KY",
            "postal_code": "410112850",
            "telephone_number": "937-269-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 IRISHROSE LN",
            "city": "PARK HILLS",
            "state": "KY",
            "postal_code": "410112850",
            "telephone_number": "937-269-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMS THERAPY AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "FANNIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "937-269-5288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.