NPIMap

Organization Active NPI

Bodywise Studios, Inc.

  • Physical Therapy Clinic/Center
  • St Augustine, FL
National Provider Identifier
1023106127
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 12766 Issued in FL
Legal business name
BODYWISE STUDIOS, INC.
Practice address
2706 Old Moultrie Rd
St Augustine, FL 32086-5447
Phone
(904) 794-6760
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Ms. Susan Poland Huffman, P.T.NPI 1346338464
Title
President
Phone
(904) 794-6760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 12766 FL Primary

Addresses

Primary practice location

2706 Old Moultrie Rd
St Augustine, FL 32086-5447

Mailing address

PO Box 5538
St Augustine, FL 32085-5538
Phone (904) 794-6760

National Provider Directory

National Provider Directory

Locations

1797 Old Moultrie Rd
Ste 101
Saint Augustine, FL 32084
Phone (904) 827-1669

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1023106127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5538",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320855538",
            "telephone_number": "904-794-6760",
            "fax_number": "904-794-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 OLD MOULTRIE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865447",
            "telephone_number": "904-794-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE STUDIOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "POLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-794-6760",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 12766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.