Organization Active NPI

Fitness for Life

  • Clinical Exercise Physiologist
  • Huntsville, AL
National Provider Identifier
1881091791
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
11945 Issued in AL
Legal business name
FITNESS FOR LIFE
Practice address
327 Old Highway 431 Ste C
Huntsville, AL 35763
Phone
(256) 509-5242
Fax
(256) 715-0265
NPI assigned
Nov 21, 2014
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Mr. James Lyle Douglass, M.ED., RCEP
Title
Clinical Exercise Physiologist
Phone
(256) 509-5242

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 11945 AL
Massage Therapist 225700000X 11945 AL
Clinical Exercise Physiologist 224Y00000X 11945 AL Primary

Addresses

Primary practice location

327 Old Highway 431 Ste C
Huntsville, AL 35763

Mailing address

327 Old Highway 431 Ste C
Huntsville, AL 35763
Phone (256) 509-5242

National Provider Directory

National Provider Directory

Locations

327 Old Highway 431
Ste C
Owens Cross Roads, AL 35763
Phone (256) 517-9277

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1881091791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 OLD HIGHWAY 431 STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35763",
            "telephone_number": "256-509-5242",
            "fax_number": "256-715-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 OLD HIGHWAY 431 STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35763",
            "telephone_number": "256-509-5242",
            "fax_number": "256-715-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "CLINICAL EXERCISE PHYSIOLOGIST",
        "authorized_official_telephone_number": "256-509-5242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., RCEP"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "11945",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "11945",
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "AL",
            "license": "11945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.