RETRO FITNESS (NPI# 1619288834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619288834 |
| Entity Type | Organization |
| Organization Name | RETRO FITNESS |
| Practice Address |
408 2nd Street Pike Southampton PA 18966-3814 |
| Practice Telephone | 2158309991 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |
| Authorized Official Name | MR. BRIAN WHEELER (CEO) |
| Authorized Official Telephone | 2158309991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | RETRO FITNESS FUNDING YONKERS, LLC | 400 Rella Blvd, Ste 304, Montebello, Ny 10901 |
| Colorado Business Entities | Retro Fitness, LLC | 6264 E. 122nd Ave., Brighton, CO 80602 |
| Street Address |
408 2ND STREET PIKE |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962713180 | Eft | Mechanotherapist | 408 2nd Street Pike, Southampton, PA 18966-3814 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1902319130 | Max S Oscar | Clinic/Center | 167 Main St, Southampton, NY 11968-4823 | 2017-11-09 |
| 1295964740 | Southampton Physical Therapy PC | Clinic/Center | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827835 | Move More LLC | Clinic/Center | 630 Meadow Ln, Harleysville, PA 19438-1639 | 2020-09-26 |
| 1649898073 | Trinity Rehab Somerset Pa | Clinic/Center | 2826 S Eagle Rd # No1-21, Newtown, PA 18940-1543 | 2020-07-13 |
| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1811516339 | Alyssa Haveson | Clinic/Center | 23 Sentinel Rd, Washington Crossing, PA 18977-1142 | 2020-04-14 |
| 1104455377 | Dizzy Brain and Balance Specialists LLC | Clinic/Center | 484 Maple Point Dr, Langhorne, PA 19047-1473 | 2020-04-08 |
| 1891326427 | Joshua David Finley | Clinic/Center | 918 Truepenny Rd, Media, PA 19063-1634 | 2020-02-02 |
| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
| 1538799796 | Sirona Therapy P.C. | Clinic/Center | 220 W Plum St Ste 335, Edinboro, PA 16412-2167 | 2020-01-16 |
| 1326683095 | Drayer Physical Therapy Institute LLC | Clinic/Center | 702 Creekside Ln, Lititz, PA 17543-6826 | 2019-11-16 |
| 1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
Please comment or provide details below to improve the information on RETRO FITNESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.