NPIMap

Organization Active NPI

Fit for Life Physical Therapy, Inc

  • Physical Therapist
  • Lake City, FL
National Provider Identifier
1922135102
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FIT FOR LIFE PHYSICAL THERAPY, INC
Practice address
426 SW Commerce Dr
Suite 101
Lake City, FL 32025-1505
Phone
(386) 752-3838
Fax
(386) 752-3874
NPI assigned
Feb 27, 2007
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Gustaaf Lambert Vaes
Title
Cfo
Phone
(352) 373-7984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

426 SW Commerce Dr
Suite 101
Lake City, FL 32025-1505

Mailing address

PO Box 357279
Gainesville, FL 32635-7279
Phone (352) 373-7984

National Provider Directory

National Provider Directory
Tax ID family
Fit for Life Physical Therapy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1922135102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357279",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357279",
            "telephone_number": "352-373-7984",
            "fax_number": "352-332-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SW COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251505",
            "telephone_number": "386-752-3838",
            "fax_number": "386-752-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT FOR LIFE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "VAES",
        "authorized_official_first_name": "GUSTAAF",
        "authorized_official_middle_name": "LAMBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-373-7984"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.