Body Mechanix, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6192 Issued in AZ

Legal business name

BODY MECHANIX, LLC

Practice address

1695 Mesquite Ave
Suite 106
Lake Havasu City, AZ 86403-5678

Phone

(928) 680-2639

Fax

(928) 680-2626

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Nguyen Kamon-Brancazio, DPT

Title

Owner/President

Phone

(928) 680-2639

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1104092840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 MESQUITE AVE",
            "address_2": "SUITE 106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035678",
            "telephone_number": "928-680-2639",
            "fax_number": "928-680-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 MESQUITE AVE",
            "address_2": "SUITE 106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035678",
            "telephone_number": "928-680-2639",
            "fax_number": "928-680-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MECHANIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "KAMON-BRANCAZIO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "928-680-2639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "6192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenniffer Blair, FNP-C
• Melissa J Blower, LPCC 13751
• Blue Water Internal Medicine Associates PC
• Kristal Lee Blundell, PTA
• Carol Ann Bodman, RN
• Alexandra Boseant
• Sheena Louise Boyd, M.A., LMFT
• Edward Willard Bradshaw III, PA-C
• Ashly Elizabeth Branaman, CNA
• Matthew Brandon Brancazio, PHARMD

• All providers in Lake Havasu City, AZ
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.