Bodyful Physical Therapy and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BODYFUL PHYSICAL THERAPY AND WELLNESS

Practice address

2929 Summit St Ste 208
Oakland, CA 94609-3423

Phone

(510) 788-1299

Fax

(510) 217-3574

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Maryssa Steffen, DPT

Title

Co-Owner, Physical Therapist

Phone

(510) 788-1299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1023770633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 SUMMIT ST STE 208",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093423",
            "telephone_number": "510-788-1299",
            "fax_number": "510-217-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 SUMMIT ST STE 208",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093423",
            "telephone_number": "510-788-1299",
            "fax_number": "510-217-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYFUL PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "MARYSSA",
        "authorized_official_title_or_position": "CO-OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "510-788-1299",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Anthony Bocobo, LCSW
• Sandhya Bodapati
• Shannon Erika Marie Bode, B.A.
• Ethan Emmet Bodle, M.D., M.P.H
• Jennifer S. Bodnick, MD
• Bodysoul Community Wellness and Physical Therapy, Inc.
• Lucas V Boe
• Julia Goldman Boekelheide
• Therese L Bogan, MFT
• Julie Bogdanski, L.AC.

• Physical Therapy Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.