NPIMap

Organization Active NPI

Fitness & Rehabilitation Services, LLC

  • Physical Therapist
  • Lake Jackson, TX
National Provider Identifier
1780694562
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FITNESS & REHABILITATION SERVICES, LLC
Practice address
321 Garland Dr
Lake Jackson, TX 77566-6238
Phone
(979) 297-3365
Fax
(979) 297-3541
NPI assigned
Aug 8, 2006
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Miss Mary Ann Harnden, P.T., M.SNPI 1619953023
Title
Ceo
Phone
(979) 297-3365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary
Occupational Therapist 225X00000X TX

Addresses

Primary practice location

321 Garland Dr
Lake Jackson, TX 77566-6238

Mailing address

321 Garland Dr
Lake Jackson, TX 77566-6238
Phone (979) 297-3365

Other identifiers 1

IdentifierTypeStateIssuer
00U60FOtherTXBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1780694562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 GARLAND DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666238",
            "telephone_number": "979-297-3365",
            "fax_number": "979-297-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GARLAND DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666238",
            "telephone_number": "979-297-3365",
            "fax_number": "979-297-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS & REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "HARNDEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-297-3365",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "P.T., M.S"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00U60F",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.