Preventive Fitness LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

PREVENTIVE FITNESS LLC

Practice address

2004 S Mason Rd Ste A4
Katy, TX 77450-6253

Phone

(281) 500-6055

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Jason Hodge

Title

Owner

Phone

(281) 500-6055

Specialties & licenses 1

Addresses

Other names 1

• Medical Fitness Pros Doing business as

Locations

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1700445954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 S MASON RD STE A4",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506253",
            "telephone_number": "281-500-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 S MASON RD STE A4",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506253",
            "telephone_number": "281-500-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-500-6055"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Fitness Pros",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Practitioner in Katy, TX
• Providers in Katy, TX by specialty
• Rehabilitation Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.