S N J Simply Fit

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

S N J SIMPLY FIT

Practice address

1978 S Tamiami TRL Ste 5&6
Venice, FL 34293-5006

Phone

(937) 824-0660

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jerry G CouchNPI 1083320642

Title

Owner

Phone

(937) 824-0660

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Susan Gammon, P.T.

  • Physical Therapist
  • Venice, FL
  • NPI 1841308707

  FL

  Medicare reassignment NPD
• Billie Jean Schanen, PT

  • Physical Therapist
  • Venice, FL
  • NPI 1891073672

  FL

  Medicare reassignment NPD
• Jerry G Couch, PTA

  • Physical Therapy Assistant
  • Venice, FL
  • NPI 1083320642
  NPD Authorized official
• Laura Susan Moss, PT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1063477826
  NPD
• Sandy Ruth Couch

  • Health Educator
  • Venice, FL
  • NPI 1619479847
  NPD (past)

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1760189583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 FAREHAM DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342934477",
            "telephone_number": "937-824-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 S TAMIAMI TRL STE 5&6",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935006",
            "telephone_number": "937-824-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S N J SIMPLY FIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-824-0660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Ruzek, MD
• Ryan S. Holbrook, DMD, P.a.
• Heather L. Ryan, MA, ATC, LAT
• Jeffrey Ryan, D.O.
• Patricia Jo Ryan, PH.D.
• S-H Thirty-Five Opco - Bella Vita, LLC
• Reinaldo Sabates, LICENSES DISPENSING
• Albina Sado
• Safe & Guard Home Care Inc
• Safe Haven Counseling LLC

• All providers in Venice, FL
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.