Therafit Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20463

Legal business name

THERAFIT INC

Practice address

15 Seascape Village
Aptos, CA 95003

Phone

(831) 687-0985

Fax

(831) 687-0986

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Gerald Tucker, PT

Title

Physical Therapist Ceo

Phone

(831) 687-0985

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Seascape Physical Therapy and Fitness Studio Doing business as

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1720202914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SEASCAPE VILLAGE",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "95003",
            "telephone_number": "831-687-0985",
            "fax_number": "831-687-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SEASCAPE VILLAGE",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "95003",
            "telephone_number": "831-687-0985",
            "fax_number": "831-687-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAFIT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST CEO",
        "authorized_official_telephone_number": "831-687-0985",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": "PT20463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP OF CA",
            "identifier": "673905",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "OPT204630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seascape Physical Therapy and Fitness Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Aptos, CA
• Providers in Aptos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.