Provider Demographics
NPI:1669926689
Name:PILATES FITNESS LLC
Entity type:Organization
Organization Name:PILATES FITNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAKASHIMA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:614-584-9232
Mailing Address - Street 1:4041 N HIGH ST
Mailing Address - Street 2:STE 203D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3247
Mailing Address - Country:US
Mailing Address - Phone:614-584-9232
Mailing Address - Fax:614-636-4582
Practice Address - Street 1:4041 N HIGH ST
Practice Address - Street 2:STE 203D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3247
Practice Address - Country:US
Practice Address - Phone:614-314-5773
Practice Address - Fax:614-636-4582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPTO008090261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy