Fit Athletic Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FIT ATHLETIC PHYSICAL THERAPY, INC.

Practice address

3115 Ocean Front Walk
San Diego, CA 92109-8729

Phone

(619) 415-8388

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Kevin Yanuskavich

Title

Vice President

Phone

(619) 415-8388

Specialties & licenses 1

Addresses

Tax ID family

Fit Athletic Physical Therapy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fit Athletic Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1548947666
  NPD tax ID
• Fit Athletic Physical Therapy, Inc.

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1982382172
  NPD tax ID

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1811674062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 OCEAN FRONT WALK",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 OCEAN FRONT WALK",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098729",
            "telephone_number": "619-415-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT ATHLETIC PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "YANUSKAVICH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "619-415-8388"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelan Van Saun Fiske, M.S. CCC-SLP
• Mariah Jordan Fiske
• Fit Athletic Club San Diego LLC
• Fit Athletic CMR LLC
• Fit Athletic Physical Therapy, Inc.
• Fit Athletic Physical Therapy, Inc.
• Fit Athletic Physical Therapy, Inc.
• Desiree Alexis Fitch
• Luis Fitch
• Maria Feliz Fitch

• Physical Therapy Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.