NPIMap

Organization Active NPI

Bodywise Physical Therapy PLLC

Doing business as Backtec Physical Therapy

  • Physical Therapist
  • New York, NY
National Provider Identifier
1083673891
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BODYWISE PHYSICAL THERAPY PLLC
Doing business as
Backtec Physical Therapy
Practice address
148 E 84TH St
New York, NY 10028-2047
Phone
(212) 517-0020
Fax
(212) 517-4526
NPI assigned
Mar 21, 2006
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Ms. Gail L King, MSPTNPI 1447211685
Title
Director
Phone
(212) 517-0020

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

148 E 84TH St
New York, NY 10028-2047

Mailing address

148 E 84TH St
New York, NY 10028-2095
Phone (212) 517-0020

Other names 1

  • Backtec Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

148 E 84th St
New York, NY 10028
Phone (212) 517-0020

148 E 84th St
Apt 1C
New York, NY 10028
Phone (212) 517-0020

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1083673891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282095",
            "telephone_number": "212-517-0020",
            "fax_number": "212-517-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282047",
            "telephone_number": "212-517-0020",
            "fax_number": "212-517-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-517-0020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Backtec Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • 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.