NPIMap

Organization Active NPI

Fitness Designs Physical Therapy & Sports Rehab

  • Physical Therapy Clinic/Center
  • Glen Carbon, IL
National Provider Identifier
1669468427
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FITNESS DESIGNS PHYSICAL THERAPY & SPORTS REHAB
Practice address
16 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Phone
(618) 656-1122
Fax
(618) 656-1171
NPI assigned
Sep 26, 2005
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Mr. David Harold StrickfadenNPI 1104916915
Title
Managing Partner
Phone
(618) 656-1122

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 Therapy Clinic/Center 261QP2000X IL Primary

Addresses

Primary practice location

16 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502

Mailing address

16 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Phone (618) 656-1122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1669468427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GINGER CREEK PKWY",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343502",
            "telephone_number": "618-656-1122",
            "fax_number": "618-656-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GINGER CREEK PKWY",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343502",
            "telephone_number": "618-656-1122",
            "fax_number": "618-656-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS DESIGNS PHYSICAL THERAPY & SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "STRICKFADEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "618-656-1122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.