Organization Active NPI

Fit Physical Therapy and Consulting Services, LLC

  • Physical Therapist
  • Old Town, ME
National Provider Identifier
1801337563
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FIT PHYSICAL THERAPY AND CONSULTING SERVICES, LLC
Practice address
11 Hamel LN
Old Town, ME 04468-1949
Phone
(207) 944-7020
NPI assigned
Mar 14, 2017
Last updated
Mar 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Mr. Randy Kenneth Cyr Jr., PT
Title
Owner, President
Phone
(207) 944-7020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

11 Hamel LN
Old Town, ME 04468-1949

Mailing address

11 Hamel LN
Old Town, ME 04468-1949
Phone (207) 944-7020

National Provider Directory

National Provider Directory

Locations

482 Stillwater Ave
Old Town, ME 04468
Phone (207) 827-4100

Practitioners & affiliated clinicians

Practitioners 4

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": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1801337563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HAMEL LN",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681949",
            "telephone_number": "207-944-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HAMEL LN",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681949",
            "telephone_number": "207-944-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT PHYSICAL THERAPY AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "CYR",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "207-944-7020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Town, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.