Organization Active NPI

Fit 4 Golf, LLC Dba Advanced Physical Therapy and Massage

  • Physical Therapy Clinic/Center
  • Iowa City, IA
National Provider Identifier
1760670426
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FIT 4 GOLF, LLC DBA ADVANCED PHYSICAL THERAPY AND MASSAGE
Doing business as
Advanced Physical Therapy and Massage
Practice address
359 N 1St Ave
Iowa City, IA 52245-3618
Phone
(319) 350-9616
Fax
(319) 624-5273
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Mrs. Sue Ellen Bransky, P.T.
Title
Owner
Phone
(319) 350-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

359 N 1St Ave
Iowa City, IA 52245-3618

Mailing address

359 N 1St Ave
Iowa City, IA 52245-3618
Phone (319) 350-9616

Other names 1

  • Advanced Physical Therapy and Massage Doing business as

National Provider Directory

National Provider Directory

Locations

359 N 1st Ave
Iowa City, IA 52245
Phone (319) 350-9616

101 Windflower Ln
Ste 1000
Solon, IA 52333
Phone (319) 350-9616

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1760670426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 N 1ST AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453618",
            "telephone_number": "319-350-9616",
            "fax_number": "319-624-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N 1ST AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453618",
            "telephone_number": "319-350-9616",
            "fax_number": "319-624-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT 4 GOLF, LLC DBA ADVANCED PHYSICAL THERAPY AND MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "BRANSKY",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-350-9616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Therapy and Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.