CMS-1500 Box 24J / 33a • NPI
1265976963
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2255A2300X
Licensed & Credentialed Specialist/Technologist, Athletic Trainer
Box 32 Service Location & ZIP+4
95 RIVERPORT DR, JACKSON, TN, 38301-5748
✓ 9-Digit EDI 837 ZIP+4 (38301-5748)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1265976963 (1ST STEP FITNESS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1265976963 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 1ST STEP FITNESS |
| Plain-English Specialty | Licensed & Credentialed Specialist/Technologist, Athletic Trainer NUCC Code: 2255A2300X (Specialist/Technologist, Athletic Trainer) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 95 RIVERPORT DR, JACKSON, TN, 38301-5748 |
| Practice Telephone / Fax | Tel: (731) 298-4506 |
| Administrative Mailing Address | 95 RIVERPORT DR, JACKSON, TN, 38301-5748 |
| Enumeration & Last Sync | Enumerated: 2016-12-14 | CMS Record Updated: 2016-12-14 |
| Authorized Official | JONATHAN PARKER (Owner) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2255A2300X)
What Does Taxonomy Code 2255A2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2255A2300X translates to:
"Licensed & Credentialed Specialist/Technologist, Athletic Trainer"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (1ST STEP FITNESS)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2255A2300X — Specialist/Technologist, Athletic TrainerPlain English: Licensed & Credentialed Specialist/Technologist, Athletic Trainer | State: TN | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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