Customfit Concierge Medicine, Health and Fitness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CUSTOMFIT CONCIERGE MEDICINE, HEALTH AND FITNESS LLC

Practice address

1413 W Fillmore St Apt 2
Chicago, IL 60607-4716

Phone

(312) 619-3556

Fax

(833) 467-1276

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Jeffrey Bitter, DPT

Title

Owner

Phone

(312) 619-3556

Specialties & licenses 1

Addresses

Other names 1

• CustomFit Concierge Medicine, Health and Fitness LLC Doing business as

Electronic endpoints 1

Practitioners 1

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

• Susan W Ettinger, MSN,NPC

  • Nurse Practitioner
  • Lutherville Timonium, MD
  • NPI 1144325275
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1780248864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W FILLMORE ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074716",
            "telephone_number": "312-619-3556",
            "fax_number": "833-467-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W FILLMORE ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074716",
            "telephone_number": "312-619-3556",
            "fax_number": "833-467-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMFIT CONCIERGE MEDICINE, HEALTH AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "BITTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-619-3556",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffb@customfitc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1413 W Fillmore St Apt 2",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606074716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CustomFit Concierge Medicine, Health and Fitness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Custom Healing and Wellness Ministries, NFP
• Custom Home Care, Inc.
• Custom Med, LLC
• Custom Med, LLC
• Custom Med, LLC
• Cutest Smile LTD.
• Danielle Cuthbert, MD
• Jennifer P Cutilletta, LCSW
• Amy Cutler, MS, OTR/L
• Ann T. Cutler

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.