B.E. Active Fitness and Consulting, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

B.E. ACTIVE FITNESS AND CONSULTING, LLC

Practice address

177 Southill Dr
Leesburg, GA 31763-4535

Phone

(229) 456-1509

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Brittany English, DPT

Title

Owner

Phone

(229) 456-1509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1861217309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 SOUTHILL DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 SOUTHILL DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634535",
            "telephone_number": "229-456-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.E. ACTIVE FITNESS AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-456-1509",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.