Fitness Forward LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FITNESS FORWARD LLC

Practice address

17110 W Greenfield Ave Ste 7
Brookfield, WI 53005-6947

Phone

(315) 335-0839

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Kelly L Benfey, DPTNPI 1619331188

Title

Physical Therapist

Phone

(315) 335-0839

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelly Benfey, DPT

  • Physical Therapist
  • Evanston, IL
  • NPI 1619331188
  NPD Authorized official

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1760157952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 W GREENFIELD AVE STE 7",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056947",
            "telephone_number": "315-335-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 W GREENFIELD AVE STE 7",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056947",
            "telephone_number": "315-335-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS FORWARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "BENFEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "315-335-0839",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen E Fischer, LPC
• Samuel Joseph Fischer
• Cheryl Lynn Fish
• Susan Stolzer Fishbach, MS OTR CLT
• David R Fisher, MD
• Fitness N Mind, LLC
• Fitventures-Pewaukee Inc
• Patrick T Fitzgerald, M.D.
• Terri Fitzgibbon, M SW
• Five Star Quality Care Wi LLC

• Physical Therapy Clinic/Center in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.