Active NPI
Bodyworx Healthplex LLC
- General Practice Physician
- Frisco, TX
National Provider Identifier
1104580844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@bodyworxpt.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Mustang, OK
- NPI 1841456928
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.