Fast Twitch Athletic Wellness, LLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

1170668 Issued in TX

Legal business name

FAST TWITCH ATHLETIC WELLNESS, LLC

Practice address

24022 Cinco Village Center Blvd
Suite 120
Katy, TX 77494-8397

Phone

(281) 391-3648

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Demond C. Jordan

Title

Founder/General Manager

Phone

(281) 865-2236

Specialties & licenses 1

Addresses

Other names 1

• Fast Twitch Athletic Training & Personal Wellness Center Other name

Locations

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1700195393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24022 CINCO VILLAGE CENTER BLVD",
            "address_2": "SUITE 120",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948397",
            "telephone_number": "281-391-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CINCO VILLAGE CENTER BLVD",
            "address_2": "SUITE 120",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948397",
            "telephone_number": "281-391-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST TWITCH ATHLETIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DEMOND",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "FOUNDER/GENERAL MANAGER",
        "authorized_official_telephone_number": "281-865-2236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1170668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Twitch Athletic Training & Personal Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Myra Rafi Faruki, PA-C
• Motunrayo Fasakin
• Ayomide Fasalojo
• Sarah Fasfassian, PHARMD
• Fast Track Medical Center
• Israel Fatade
• Huzaifa Fattah
• Hallie Rose Fautt, RBT
• Pavel Jesus Faxas del Toro, RN
• Hala A Fayed

• Sports Physical Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Sports Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.