NPIMap

Organization Active NPI

Life Fit Physical Therapy, LLC

Doing business as Life Fit Physical Therapy

  • Physical Therapist
  • Downingtown, PA
National Provider Identifier
1639181720
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012532L Issued in PA
Legal business name
LIFE FIT PHYSICAL THERAPY, LLC
Doing business as
Life Fit Physical Therapy
Practice address
110 Hopewell Rd
Suite 240
Downingtown, PA 19335-1047
Phone
(610) 594-2060
Fax
(610) 594-2056
NPI assigned
Aug 13, 2006
Last updated
Apr 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
James F. Petaccio, MSPTNPI 1881606986
Title
Owner/Physical Therapist
Phone
(610) 594-2060

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 Therapist 225100000X PT012532L PA Primary

Addresses

Primary practice location

110 Hopewell Rd
Suite 240
Downingtown, PA 19335-1047

Mailing address

110 Hopewell Rd
Suite 240
Downingtown, PA 19335-1047
Phone (610) 594-2060

Other names 1

  • Life Fit Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

35 E Uwchlan Ave
Ste 330
Exton, PA 19341

1220 Valley Forge Rd
Ste 35
Phoenixville, PA 19460
Phone (610) 292-8566

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1639181720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOPEWELL RD",
            "address_2": "SUITE 240",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351047",
            "telephone_number": "610-594-2060",
            "fax_number": "610-594-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOPEWELL RD",
            "address_2": "SUITE 240",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351047",
            "telephone_number": "610-594-2060",
            "fax_number": "610-594-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FIT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "PETACCIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "610-594-2060",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012532L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Fit Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.