Active NPI
So Fit LLC
Doing business as Pure Austin Fitness
- Physical Therapy Clinic/Center
- Austin, TX
National Provider Identifier
1881817021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1126639
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Dietitian
- Austin, TX
- NPI 1164569919
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.