Body Lab

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

Legal business name

BODY LAB

Practice address

300 Alumni Rd FL 2
Newington, CT 06111-1868

Phone

(860) 578-8020

NPI assigned

Jul 2, 2024

Last updated

Apr 1, 2025By 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

Mr. David Gerard Alleva, MLT

Title

Owner

Phone

(860) 616-8549

Specialties & licenses 1

Addresses

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.

• Mindy M. Gray, MS, RDN

  • Registered Dietitian
  • Grain Valley, MO
  • NPI 1669968236
  NPD
• Lisa Greene, MS, RD, LD

  • Registered Dietitian
  • Mansfield, TX
  • NPI 1326123431
  NPD (past)

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1134965973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GATES FARM RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333219",
            "telephone_number": "860-616-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ALUMNI RD FL 2",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111868",
            "telephone_number": "860-578-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Bridgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635539",
            "country_code": "US",
            "telephone_number": "972-896-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODY LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "ALLEVA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-616-8549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MLT"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Big Hearts ABA LLC
• Zade Almerol Bihag, MD
• Lorraine Binns-Grear, MD
• Bio-Medical Applications of Connecticut, Inc. (Fresenius Medical Care Newington)
• Patricia Biron, PT
• Lucie Bohannon, PT
• Salvador Bondoc, OT
• Lourie C Bonsu, MA
• Renee J Bordeau, RD, CDN, CPT
• Bordeaux Nutrition LLC

• Obesity and Weight Management Nutrition Registered Dietitian in Newington, CT
• Providers in Newington, CT by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.