Organization Active NPI

Bodyworx Healthplex LLC

  • General Practice Physician
  • Frisco, TX
National Provider Identifier
1104580844
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BODYWORX HEALTHPLEX LLC
Practice address
14111 King Rd BLDG 4
Frisco, TX 75036-8981
Phone
(469) 430-9100
NPI assigned
Oct 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Coreyon Washington
Title
Executive Director
Phone
(405) 455-7860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

14111 King Rd BLDG 4
Frisco, TX 75036-8981

Mailing address

PO Box 9907
Moore, OK 73153-5307
Phone (469) 430-9100

Other names 1

  • Bodyworx Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@bodyworxpt.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1104580844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9907",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731535307",
            "telephone_number": "469-430-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14111 KING RD BLDG 4",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368981",
            "telephone_number": "469-430-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORX HEALTHPLEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "COREYON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-455-7860"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bodyworxpt.com",
            "affiliation": "N",
            "address_1": "14111 King Rd Bldg 4",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750368981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bodyworx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.