Provider Demographics
NPI:1457132755
Name:FAST & FIT PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:FAST & FIT PHYSICAL THERAPY LLC
Other - Org Name:FAST & FIT PHYSICAL THERAPY LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:AUTH OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT
Authorized Official - Phone:469-406-8191
Mailing Address - Street 1:1421 GERMAN SCHOOL RD APT 308
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4177
Mailing Address - Country:US
Mailing Address - Phone:469-406-8191
Mailing Address - Fax:
Practice Address - Street 1:1617 BOULEVARD STE A
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2329
Practice Address - Country:US
Practice Address - Phone:469-406-8191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty