Active NPI
Fitness for Life
- Clinical Exercise Physiologist
- Huntsville, AL
National Provider Identifier
1881091791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- 11945
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.