Basic Information
| Provider Information | |||||||||
| NPI: | 1477836575 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | FITNESS MATTERS INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7710 OLENTANGY RIVER RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432351353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148413900 | ||||||||
| FaxNumber: | 6148413930 | ||||||||
| Practice Location | |||||||||
| Address1: | 7710 OLENTANGY RIVER RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432351353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148413900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2011 | ||||||||
| LastUpdateDate: | 09/26/2022 | ||||||||
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| AuthorizedOfficialLastName: | TIMMONS | ||||||||
| AuthorizedOfficialFirstName: | TRAVIS | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6148413900 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | DPT | ||||||||
| NPICertificationDate: | 09/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | N | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | 2251X0800X | 8543 | OH | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.