Provider Demographics
NPI:1225736374
Name:GENERATIONAL FITNESS
Entity Type:Organization
Organization Name:GENERATIONAL FITNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:APOSTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, PT, CSCS
Authorized Official - Phone:631-379-5810
Mailing Address - Street 1:2 PROMENADE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6020
Mailing Address - Country:US
Mailing Address - Phone:631-379-5810
Mailing Address - Fax:
Practice Address - Street 1:2 PROMENADE DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6020
Practice Address - Country:US
Practice Address - Phone:631-379-5810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty