NPIMap

Organization Active NPI

Body Mechanics Physical Therapy- High St PLLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1083048409
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10198 Issued in AZ
Legal business name
BODY MECHANICS PHYSICAL THERAPY- HIGH ST PLLC
Practice address
5410 E High St
Suite 107
Phoenix, AZ 85054-5456
Phone
(480) 282-8485
Fax
(480) 323-2777
NPI assigned
Aug 22, 2013
Last updated
Nov 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Stacey Dewolf, DCNPI 1699887745
Title
Owner
Phone
(480) 282-8485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4369 AZ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 10198 AZ Primary

Addresses

Primary practice location

5410 E High St
Suite 107
Phoenix, AZ 85054-5456

Mailing address

4127 E Pullman Rd
Cave Creek, AZ 85331-4007
Phone (480) 282-8485

National Provider Directory

National Provider Directory

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": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1083048409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 E PULLMAN RD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314007",
            "telephone_number": "480-282-8485",
            "fax_number": "480-323-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 E HIGH ST",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545456",
            "telephone_number": "480-282-8485",
            "fax_number": "480-323-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MECHANICS PHYSICAL THERAPY- HIGH ST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "DEWOLF",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-282-8485",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4369",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.