Body Dynamic Physical Therapy & Pilates Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

24763 Issued in CA

Legal business name

BODY DYNAMIC PHYSICAL THERAPY & PILATES WELLNESS

Doing business as

Body Dynamic

Practice address

1282 White Oaks Rd
Campbell, CA 95008

Phone

(408) 550-6076

Fax

(408) 608-1970

NPI assigned

Oct 29, 2009

Organization subpart

No

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

Authorized official

Name

Rebecca C. Mastrodicasa, P.T.

Title

Physical Therapist/Treasurer

Phone

(408) 550-6076

Specialties & licenses 1

Addresses

Other names 1

• Body Dynamic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Jane Woodbeck, MS, PT, OCS, ATC

  • Orthopedic Physical Therapist
  • Campbell, CA
  • NPI 1073500674
  NPD (past)

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1104152925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 WHITE OAKS RD.",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-550-6076",
            "fax_number": "408-608-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 WHITE OAKS RD",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-550-6076",
            "fax_number": "408-608-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY DYNAMIC PHYSICAL THERAPY & PILATES WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "MASTRODICASA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/TREASURER",
        "authorized_official_telephone_number": "408-550-6076",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "24763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Dynamic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas John Blatz, MD
• Alexandra Lauren Blefari
• Bliss Zin, D.D.S. a Professional Dental Corporation
• Jeffrey G Blue, M.D.
• Erika Bodoh
• Theresa Boer, MFTI
• Taryn Bogonovich, LMFT
• Katelyn Boland
• Elizabeth Bolanos
• Emily Bolanos

• Physical Therapy Clinic/Center in Campbell, CA
• Providers in Campbell, 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 Oct 29, 2009; 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.