NPIMap

Organization Active NPI

Fit 4 Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Concord TWP, OH
National Provider Identifier
1942813829
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FIT 4 LIFE PHYSICAL THERAPY
Practice address
7575 Fredle Dr Ste B2
Concord TWP, OH 44077-9413
Phone
(144) 034-0371
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Jennifer Marie Nieset, PTNPI 1245434307
Title
Owner/PT
Phone
(440) 340-3717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7575 Fredle Dr Ste B2
Concord TWP, OH 44077-9413

Mailing address

7575 Fredle Dr Ste B2
Concord TWP, OH 44077-9413
Phone (144) 034-0371

National Provider Directory

National Provider Directory

Locations

7575 Fredle Dr
Ste B2
Concord Township, OH 44077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1942813829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 FREDLE DR STE B2",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779413",
            "telephone_number": "144-034-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 FREDLE DR STE B2",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779413",
            "telephone_number": "144-034-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT 4 LIFE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "NIESET",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "440-340-3717",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord TWP, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.