Organization Active NPI

So Fit LLC

Doing business as Pure Austin Fitness

  • Physical Therapy Clinic/Center
  • Austin, TX
National Provider Identifier
1881817021
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1126639 Issued in TX
Legal business name
SO FIT LLC
Doing business as
Pure Austin Fitness
Practice address
4210 W Braker LN
Austin, TX 78759-5354
Phone
(512) 342-2200
Fax
(512) 342-0128
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Mr. Eduardo Almodovar, PT
Title
Physical Therapist
Phone
(512) 342-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1126639 TX Primary

Addresses

Primary practice location

4210 W Braker LN
Austin, TX 78759-5354

Mailing address

4210 W Braker LN
Austin, TX 78759-5354
Phone (512) 342-2200

Other names 1

  • Pure Austin Fitness Doing business as

National Provider Directory

National Provider Directory

Locations

4210 W Braker Ln
Austin, TX 78759
Phone (512) 221-7933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1881817021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 W BRAKER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595354",
            "telephone_number": "512-342-2200",
            "fax_number": "512-342-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W BRAKER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595354",
            "telephone_number": "512-342-2200",
            "fax_number": "512-342-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO FIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "ALMODOVAR",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "512-342-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1126639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Austin Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.