SO FIT LLC (NPI# 1881817021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881817021 |
Entity Type | Organization |
Organization Name | SO FIT LLC |
Other Organization Name | PURE AUSTIN FITNESS |
Practice Address |
4210 W Braker Ln Austin TX 78759-5354 |
Practice Telephone | 5123422200 |
Practice Fax Number | 5123420128 |
Mailing Telephone | 5123422200 |
Mailing Fax Number | 5123420128 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-12-06 |
Authorized Official Name | MR. EDUARDO ALMODOVAR (PHYSICAL THERAPIST) |
Authorized Official Telephone | 5123422200 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1126639 | TX | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Pure Austin Fitness | Doing Business As Name - Organization |
Street Address |
4210 W BRAKER LN |
City | AUSTIN |
State | TX |
Zip Code | 78759-5354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164569919 | Tracy L Beeman | Dietitian, Registered | 4210 W Braker Ln, Nutrition & Health Education, Austin, TX 78759-5354 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
Find all providers in zip 78759 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023633518 | At Home Telehealth Pt, Pllc | Clinic/Center | 12815 Woodmere St, Austin, TX 78729-4555 | 2020-06-10 |
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 |
1255874871 | Retrofit Performance Training LLC | Clinic/Center | 720 Airport Blvd, Trlr 71, Austin, TX 78702-4107 | 2016-11-30 |
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 |
Find all providers in AUSTIN |
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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.