Provider Demographics
NPI:1225853328
Name:FIT & FUNCTION PT, LLC
Entity type:Organization
Organization Name:FIT & FUNCTION PT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORTNEY
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:HERNDON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:434-770-3513
Mailing Address - Street 1:10101 CALLANDS RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:VA
Mailing Address - Zip Code:24531-5319
Mailing Address - Country:US
Mailing Address - Phone:434-770-3513
Mailing Address - Fax:
Practice Address - Street 1:125 SANDY CT
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4154
Practice Address - Country:US
Practice Address - Phone:434-218-2604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty