Provider Demographics
NPI:1770376519
Name:FITNESS FORWARD PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:FITNESS FORWARD PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:203-200-0261
Mailing Address - Street 1:2299 SUMMER ST # 1027
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-4502
Mailing Address - Country:US
Mailing Address - Phone:203-200-0261
Mailing Address - Fax:
Practice Address - Street 1:62 SKYLINE LN
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-2915
Practice Address - Country:US
Practice Address - Phone:203-253-1317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy