CCBF, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CCBF, LLC

Doing business as

Cape Cod Be Fit

Practice address

11 Pleasant Lake Ave
Harwich, MA 02645-2661

Phone

(508) 205-9366

NPI assigned

Jul 30, 2019

Last updated

Dec 31, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Soares, PT, DPTNPI 1871869719

Title

Owner

Phone

(508) 205-9366

Specialties & licenses 1

Addresses

Other names 1

• Cape Cod Be Fit Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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.

• Stephanie Marie Soares, DPT

  • Physical Therapist
  • Osterville, MA
  • NPI 1871869719
  Medicare reassignment NPD Authorized official
• Paul A. Anastasio, DC

  • Chiropractor
  • Harwich, MA
  • NPI 1235296286
  NPD
• Jennifer Wood, L.AC.

  • Acupuncturist
  • Harwich, MA
  • NPI 1235267162
  NPD (past)

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1689228496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RENOIR DR",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "026551253",
            "telephone_number": "508-205-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PLEASANT LAKE AVE",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026452661",
            "telephone_number": "508-205-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCBF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-205-9366",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Cod Be Fit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cape Cod Be Fit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Lynne Canducci
• Derek Cannistraro
• Cape Cod Pet/CT Services, LLC
• Cape Cod RVT School
• Cape Home Care LLC (Visiting Angels)
• Brenda Grace Chouinard
• Lindsay T Clarke, M.ED., LABA, BCBA
• Ian Cooper, PHARMD
• Katelyn Cossette
• Jane Weinman Craig, M.D.

• Physical Therapy Clinic/Center in Harwich, MA
• Providers in Harwich, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.