Organization Active NPI

Bodied by Flossy Inc

  • Recovery Care Clinic/Center
  • Memphis, TN
National Provider Identifier
1154092179
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
BODIED BY FLOSSY INC
Practice address
3900 New Covington Pike Ste 107
Memphis, TN 38128-2526
Phone
(901) 590-4416
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Princess Garrett
Title
Owner
Phone
(901) 679-1549

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

3900 New Covington Pike Ste 107
Memphis, TN 38128-2526

Mailing address

3900 New Covington Pike Ste 107
Memphis, TN 38128-2526
Phone (901) 590-4416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1154092179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NEW COVINGTON PIKE STE 107",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282526",
            "telephone_number": "901-590-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NEW COVINGTON PIKE STE 107",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282526",
            "telephone_number": "901-590-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODIED BY FLOSSY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-679-1549"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.