Provider Demographics
NPI:1548473978
Name:FIT THERAPY LLC
Entity type:Organization
Organization Name:FIT THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:HEBERTO
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:GALICIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:786-417-5517
Mailing Address - Street 1:8558 GLENCAIRN LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1466
Mailing Address - Country:US
Mailing Address - Phone:786-417-5517
Mailing Address - Fax:305-512-6061
Practice Address - Street 1:8558 GLENCAIRN LN
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1466
Practice Address - Country:US
Practice Address - Phone:786-417-5517
Practice Address - Fax:305-512-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22298225100000X
FLOT9984225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty