Provider Demographics
NPI:1144181694
Name:MOBILE FIT PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:MOBILE FIT PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:EWERT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:209-614-1553
Mailing Address - Street 1:2728 W GARTON RD
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-9025
Mailing Address - Country:US
Mailing Address - Phone:417-203-0057
Mailing Address - Fax:
Practice Address - Street 1:2728 W GARTON RD
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-9025
Practice Address - Country:US
Practice Address - Phone:417-203-0057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-22
Last Update Date:2025-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy