NPIMap

Organization Active NPI

Fitlife Training LLC

  • Physical Therapy Clinic/Center
  • Wilmette, IL
National Provider Identifier
1699450205
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FITLIFE TRAINING LLC
Practice address
90 Skokie Blvd
Wilmette, IL 60091-3054
Phone
(773) 835-9386
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Mr. Michael ReavyNPI 1952900409
Title
President
Phone
(773) 835-9386

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 Primary

Addresses

Primary practice location

90 Skokie Blvd
Wilmette, IL 60091-3054

Mailing address

9919 Karlov Ave
Skokie, IL 60076-1117
Phone (773) 835-9386

Other names 1

  • Reavy Fitness Doing business as

National Provider Directory

National Provider Directory

Locations

90 Skokie Blvd
Wilmette, IL 60091
Phone (773) 835-9386

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1699450205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9919 KARLOV AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761117",
            "telephone_number": "773-835-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SKOKIE BLVD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913054",
            "telephone_number": "773-835-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITLIFE TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "REAVY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-835-9386",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reavy Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.