Bodywise Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

257 Issued in NE

Legal business name

BODYWISE THERAPY PC

Practice address

2504 S 119TH St
Omaha, NE 68144-2947

Phone

(402) 932-8686

Fax

(402) 932-8677

NPI assigned

Mar 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teresa D Miller, P.T.

Title

President

Phone

(402) 932-8686

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

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

• Shanna J Paopao, PT

  • Physical Therapist
  • Omaha, NE
  • NPI 1902020605
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1003940289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27015",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681270015",
            "telephone_number": "402-393-9459",
            "fax_number": "402-397-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 S 119TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442947",
            "telephone_number": "402-932-8686",
            "fax_number": "402-932-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-932-8686",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0722173",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NE",
            "identifier": "02013",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Body Boutique Lingerie LTD.
• Body in Harmony Chiropractic Center, PC
• Body in Harmony, PC
• Body in Motion Chiropractic Clinic, PC
• Julie Bodyfield
• Stephanie Bodzek, RD
• August C Boe
• Curtis Lee Boeck, M.D.
• Bridget Boeckman, APRN
• Ben Harold Boedeker, MD

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.