Bodywise Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1784 Issued in NV

Legal business name

BODYWISE PHYSICAL THERAPY

Practice address

1667 Lucerne St Ste B
Minden, NV 89423-4360

Phone

(775) 783-7606

Fax

(775) 783-7605

NPI assigned

Dec 18, 2007

Organization subpart

No

Name

Ms. Monique B Haviland, M.S.P.T.NPI 1164472320

Title

Ceo/Physical Therapist

Phone

(775) 783-7606

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique B. Haviland, MSPT, CSCS, PES, CPI

  • Physical Therapist
  • Minden, NV
  • NPI 1164472320

  NV, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Teresa L Aronovitz, MSPT

  • Physical Therapist
  • Taos, NM
  • NPI 1588859268

  NV

  Medicare reassignment Care Compare group
• Alyse Anderson

  • Physical Therapist
  • Minden, NV
  • NPI 1386219236

  NV, Physical Therapist

  Medicare reassignment NPD
• Emily J Estes, PT, DPT

  • Physical Therapist
  • Sparks, NV
  • NPI 1295203099

  NV

  Medicare reassignment
• Gianna Marie James, PT, DPT

  • Physical Therapist
  • Carson City, NV
  • NPI 1760961023

  NV

  Medicare reassignment
• Malina Lorring

  • Physical Therapist
  • Minden, NV
  • NPI 1831609734

  NV

  Medicare reassignment
• Michael Charles Tuttle, DPT

  • Physical Medicine & Rehabilitation Physician
  • Fernley, NV
  • NPI 1386136620

  NV

  Medicare reassignment
• Michelle Mitchell, DPT

  • Physical Therapist
  • Englewood, CO
  • NPI 1689136111

  NV

  Medicare reassignment
• Jose Avalos, PTA

  • Physical Therapy Assistant
  • Carson City, NV
  • NPI 1427674605
  NPD
• Molly Coady, PTA

  • Physical Therapy Assistant
  • Minden, NV
  • NPI 1689310393
  NPD
• Cara Coy, PTA

  • Physical Therapy Assistant
  • Minden, NV
  • NPI 1659917318
  NPD
• Thomas Krause, DPT

  • Physical Therapist
  • Warrensburg, MO
  • NPI 1679082812
  NPD

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2020.

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1003090705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894230280",
            "telephone_number": "775-783-7606",
            "fax_number": "775-783-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 LUCERNE ST STE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234360",
            "telephone_number": "775-783-7606",
            "fax_number": "775-783-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "HAVILAND",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "775-783-7606",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508043",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katie Gean Borgman, LCSW
• Jeannette Bostedt
• Wojtek Brach
• Kevin Brady

• All providers in Minden, NV
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.