Bodywise Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODYWISE PHYSICAL THERAPY

Practice address

801 Crescent Way
Ste 3
Arcata, CA 95521

Phone

(707) 825-0800

Fax

(707) 825-0885

NPI assigned

Jul 4, 2006

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith L Wohlberg

Title

Owner

Phone

(707) 825-0800

Specialties & licenses 1

Addresses

Other names 1

• The Spine Center Former legal business name

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1023048980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CRESCENT WAY",
            "address_2": "STE 3",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "95521",
            "telephone_number": "707-825-0800",
            "fax_number": "707-825-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CRESCENT WAY",
            "address_2": "STE 3",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "95521",
            "telephone_number": "707-825-0800",
            "fax_number": "707-825-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "WOHLBERG",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-825-0800"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tara Blaine
• Mary Susanne Blanco, LMFT
• Steven Michael Blankman, PH.D.
• Kimberly Bloomfield
• Liam James Boardman
• Kelly Boehms, ASW
• Jocelyn Bolanso
• Primo Bonilla, OTR/L, HT, PAM
• Sally Jeanette Boone
• Ian Booze

• Physical Therapist in Arcata, CA
• Providers in Arcata, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.