RETROFIT PERFORMANCE TRAINING LLC


Address: 720 Airport Blvd, Trlr 71, Austin, TX 78702-4107
Phone: 8066745217

RETROFIT PERFORMANCE TRAINING LLC (NPI# 1255874871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255874871
Entity Type Organization
Organization Name RETROFIT PERFORMANCE TRAINING LLC
Other Organization Name TRIARC HEALTH AND WELLNESS
Practice Address 720 Airport Blvd
Trlr 71
Austin
TX 78702-4107
Mailing Address 8123 Fewell Trl
Amarillo
TX 79119-5858
Practice Telephone 8066745217
Mailing Telephone 8177983198
Enumeration Date 2016-11-30
Last Update Date 2016-11-30
Authorized Official Name DR. ADAM CHRISTOPHER HUGHES (OWNER - PHYSICAL THERAPIST)
Authorized Official Telephone 8066745217
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
1263805 TX Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Triarc Health and Wellness Doing Business As Name - Organization

Office Location

Street Address 720 AIRPORT BLVD
TRLR 71
City AUSTIN
State TX
Zip Code 78702-4107

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NPI Name Taxonomy Address Enumeration
1487207171 Enamel Dentistry Saltillo, Pllc Clinic/Center 901 E. 5th Street, Suite 170, Austin, TX 78702 2019-07-22
1730678616 Marci Lawson Counselor 1103 Cherico St Unit 3, Austin, TX 78702 2018-05-06
1730608340 Gloria Robertson Hatfield Social Worker 501 N I-35, Ste 112, Austin, TX 78702 2017-09-14
1083063168 Nona Mason Nurse Practitioner Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 2016-06-08
1124487467 Sarah Beth Mclaughlin Social Worker 1631 E. 2nd St., Bldg. E, Austin, TX 78702 2016-02-15
1972969590 Austin Mind Body Counselor 905 E. 5th Street, Suite 102, Austin, TX 78702 2016-01-12
1972976777 Stacy Griffin Social Worker 1631 E. 2nd Street, Austin, TX 78702 2015-11-03
1396111894 Jocelyn Jarmon Health Maintenance Organization 1803 Ulit Avenue, Austin, TX 78702 2015-08-19
1396142972 Jillessa Fiorillo Social Worker 1631-d East 2nd Street, Austin, TX 78702 2014-11-26
1518390962 Emily Anna Murray Physical Therapist 1621 E 6th St # 11488, Austin, TX 78702 2013-08-20
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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1508407974 Valerie Benjamin Clinic/Center 5401 La Crosse Ave Bldg C101, Austin, TX 78739-2159 2019-10-07
1326527458 Resilientrx Clinic/Center 4820 Twin Valley Dr, Austin, TX 78731-3539 2018-08-09
1568953230 Resolution Manual Therapy, Pllc Clinic/Center 8901 Ravello Pass, Austin, TX 78749-4959 2018-05-29
1639604218 Natural Fit Therapy Pllc Clinic/Center 13740 Research Blvd Ste V3, Austin, TX 78750-1841 2017-04-20
1417488875 Agilitas Usa, Inc Clinic/Center 1600 W 38th St Ste 132, Austin, TX 78731-6404 2017-03-27
1437607884 Agilitas Usa Inc. Clinic/Center 500 Canyon Ridge Dr Ste B150, Austin, TX 78753-1689 2016-09-14
1962877043 Cancer Rehab Austin Clinic/Center 1517 W Koenig Ln Bldg A, Austin, TX 78756-1415 2015-12-01
1346647351 Shannon Louise Russell Clinic/Center 12611 Hymeadow Dr., Austin, TX 78729 2014-11-20
1154730091 Diane Hodges Popps Clinic/Center 6911 Rr 620 N Ste B, Austin, TX 78732-1920 2014-08-05
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Competitor

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City AUSTIN
Zip Code 78702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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