Fit Athletic Physical Therapy, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FIT ATHLETIC PHYSICAL THERAPY, INC.

Practice address

405 W. Ash Street
San Diego, CA 92101

Phone

(619) 415-8388

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Yanuskavich

Title

Vice President

Phone

(619) 415-8388

Specialties & licenses 1

Addresses

Tax ID family

Fit Athletic 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.

• Fit Athletic Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1548947666
  NPD tax ID
• Fit Athletic Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1811674062
  NPD tax ID

Locations

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1982382172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W ASH ST",
            "city": "SAN SIEGO",
            "state": "CA",
            "postal_code": "92101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W. ASH STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-415-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT ATHLETIC PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "YANUSKAVICH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "619-415-8388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fit Athletic Club San Diego LLC
• Fit Athletic CMR LLC
• Fit Athletic Physical Therapy, Inc.
• Fit Athletic Physical Therapy, Inc.
• Fit Athletic Physical Therapy, Inc.
• Desiree Alexis Fitch
• Luis Fitch
• Maria Feliz Fitch
• Melody Fitch, O.D.
• Yolanda Fitch

• Physical Medicine & Rehabilitation Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.