Organization Active NPI

Perfectly Fit Wellness, LLC

  • Physical Therapy Clinic/Center
  • Mount Pleasant, SC
National Provider Identifier
1790282721
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6585 Issued in SC
Legal business name
PERFECTLY FIT WELLNESS, LLC
Practice address
1476 Ben Sawyer Blvd Ste 10
Mount Pleasant, SC 29464-4587
Phone
(843) 509-2577
NPI assigned
Apr 6, 2018
Last updated
Apr 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Jillian Eileen Zimmerman, DPT
Title
Owner
Phone
(978) 621-3948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 6585 SC Primary

Addresses

Primary practice location

1476 Ben Sawyer Blvd Ste 10
Mount Pleasant, SC 29464-4587

Mailing address

1055 Grand Concourse St
Charleston, SC 29412-8827
Phone (978) 621-3948

National Provider Directory

National Provider Directory

Locations

1476 Ben Sawyer Blvd
Ste 10
Mount Pleasant, SC 29464
Phone (843) 509-2577

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1790282721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 GRAND CONCOURSE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128827",
            "telephone_number": "978-621-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 BEN SAWYER BLVD STE 10",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644587",
            "telephone_number": "843-509-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECTLY FIT WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-621-3948",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "6585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.