Provider Demographics
NPI:1063753085
Name:THE FITNESS INSTITUTE & PILATES STUDIO
Entity type:Organization
Organization Name:THE FITNESS INSTITUTE & PILATES STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REHABILITATION
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:716-639-0200
Mailing Address - Street 1:5427 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2822
Mailing Address - Country:US
Mailing Address - Phone:716-639-0200
Mailing Address - Fax:716-639-0251
Practice Address - Street 1:5427 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2822
Practice Address - Country:US
Practice Address - Phone:716-639-0200
Practice Address - Fax:716-639-0251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)