Organization Active NPI

Body Logic Incorporated

  • Rehabilitation Chiropractor
  • League City, TX
National Provider Identifier
1053460493
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4863 Issued in TX
Legal business name
BODY LOGIC INCORPORATED
Practice address
2109 Williamsburg CT N
League City, TX 77573-5044
Phone
(281) 229-0698
NPI assigned
Jan 8, 2007
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Mr. Charles Chilson
Title
President
Phone
(281) 229-0698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 4863 TX Primary

Addresses

Primary practice location

2109 Williamsburg CT N
League City, TX 77573-5044

Mailing address

2050 Russett Way
Suite 137
Carson City, NV 89703-2112
Phone (877) 427-9242

National Provider Directory

National Provider Directory
Tax ID family
Body Logic Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2050 Russett Way
Ste 137
Carson City, NV 89703

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1053460493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 RUSSETT WAY",
            "address_2": "SUITE 137",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032112",
            "telephone_number": "877-427-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 WILLIAMSBURG CT N",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735044",
            "telephone_number": "281-229-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY LOGIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "CHILSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-229-0698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "4863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.