FRESH FITNESS & STRETCH THERAPY
NPI 1023677564
Clinic/Center - Developmental Disabilities in North Miami Beach, FL

Active since June 09, 2019
230 NE 175TH TER, NORTH MIAMI BEACH, FL 33162(305) 731-0103 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2020, Jun 9, 2019 (2 updates tracked since 2019).

About Fresh Fitness & Stretch Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESH FITNESS & STRETCH THERAPY (NPI 1023677564) is a healthcare organization registered as a developmental disabilities in North Miami Beach, Florida and active in the NPI registry since June 2019. The organization lists Jonathan S Nicolas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023677564
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameFRESH FITNESS & STRETCH THERAPY
Location Address230 NE 175TH TERNorth Miami Beach, FL 33162-1764
Mailing Address18117 Biscayne Blvd # 1061Aventura, FL 33160-2535 · (786) 559-1268
Organization SubpartNo
Authorized OfficialJonathan S NicolasCeo · (786) 559-1268
Enumeration DateJune 9, 2019
Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
NPI 1023677564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
230 NE 175TH TER, North Miami Beach, FL 33162

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresh Fitness & Stretch Therapy's NPI number?

The NPI number for Fresh Fitness & Stretch Therapy is 1023677564. It was assigned to this organization in the NPPES registry on June 9, 2019.

Where is Fresh Fitness & Stretch Therapy located?

Fresh Fitness & Stretch Therapy is located at 230 NE 175th Ter, North Miami Beach, FL 33162. The listed phone number is (305) 731-0103.

What is Fresh Fitness & Stretch Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Fresh Fitness & Stretch Therapy was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.