Organization Active NPI

Fit for You Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Jackson, MI
National Provider Identifier
1700542875
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FIT FOR YOU PHYSICAL THERAPY & WELLNESS
Practice address
2103 W Michigan Ave
Jackson, MI 49202-4011
Phone
(517) 745-7685
NPI assigned
Nov 12, 2021
Last updated
Nov 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Chelsea Petrakovitz, DPTNPI 1114493368
Title
Owner/Doctor of Physical Therapy
Phone
(517) 745-7685

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

2103 W Michigan Ave
Jackson, MI 49202-4011

Mailing address

5800 Folks Rd
Horton, MI 49246-9632
Phone (517) 745-7685

National Provider Directory

National Provider Directory

Locations

2103 W Michigan Ave
Jackson, MI 49202
Phone (517) 745-7685

Practitioners & affiliated clinicians

Practitioners 1

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": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1700542875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FOLKS RD",
            "city": "HORTON",
            "state": "MI",
            "postal_code": "492469632",
            "telephone_number": "517-745-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024011",
            "telephone_number": "517-745-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT FOR YOU PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "PETRAKOVITZ",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "517-745-7685",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.