Body Wise Therapy Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

007210 Issued in NM

Legal business name

BODY WISE THERAPY SERVICES LLC

Practice address

832 Highway 60
Socorro, NM 87801

Phone

(505) 838-1100

Fax

(505) 838-0394

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Lynn Murphy

Title

Owner Manager

Phone

(505) 838-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Chama Etheridge, OTR L

  • Occupational Therapist
  • Socorro, NM
  • NPI 1972613693
  NPD (past)
• Joyce Elaine Yoxall, OT

  • Occupational Therapist
  • Socorro, NM
  • NPI 1467784587
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104981505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "87801",
            "telephone_number": "505-838-1100",
            "fax_number": "505-838-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 HIGHWAY 60",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "87801",
            "telephone_number": "505-838-1100",
            "fax_number": "505-838-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WISE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "505-838-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "007210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51859513",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Benjamin
• Bhasker Medical Clinic PC
• Ravi Bhasker, MD
• Bird and Compass Therapy LLC
• William Brewster Bird
• Laurie Borden, LPCC
• Kathryn Branch Casey
• Parker S Broaddus
• Janet Vallese Brook, MS, CCC-SLP
• BRT Enterprises LLC

• Physical Therapy Clinic/Center in Socorro, NM
• Providers in Socorro, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.