Provider Demographics
NPI:1427043009
Name:MAXIMUM FITNESS INC
Entity Type:Organization
Organization Name:MAXIMUM FITNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:610-268-5333
Mailing Address - Street 1:82 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19311-1140
Mailing Address - Country:US
Mailing Address - Phone:610-268-5333
Mailing Address - Fax:610-268-5331
Practice Address - Street 1:82 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:PA
Practice Address - Zip Code:19311-1140
Practice Address - Country:US
Practice Address - Phone:610-268-5333
Practice Address - Fax:610-268-5331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA761281OtherBCBS
PA396758Medicare ID - Type Unspecified