Bodymax Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12859 Issued in CA

Legal business name

BODYMAX PHYSICAL THERAPY, INC.

Practice address

4165 Blackhawk Plaza Cir
#275
Danville, CA 94506-4904

Phone

(925) 736-1305

Fax

(925) 736-7685

NPI assigned

Feb 22, 2006

Last updated

May 12, 2008By 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. Craig A. Amack, PTNPI 1205947454

Title

Owner

Phone

(925) 621-2200

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Craig Alan Amack, P.T.

  • Physical Therapist
  • Pleasanton, CA
  • NPI 1205947454
  Authorized official Same address or phone

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1154396091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6668 OWENS DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883334",
            "telephone_number": "925-621-2200",
            "fax_number": "925-621-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR",
            "address_2": "#275",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064904",
            "telephone_number": "925-736-1305",
            "fax_number": "925-736-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYMAX PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "AMACK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-621-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackhawk Surgery Center, a Medical Corp.
• Leslie A Blinn, PHARM. D.
• Charlene Boatright, FNP
• Victoria E Boccanfuso, PSYD
• Christina Dolores Bode, RD, CDE
• Boghossian Vision, a Professional Medical Corporation
• Allen Boghossian, D.O.
• Frank Elizarde Bongolan Jr., DC
• Keith Bonnes, PSYD
• Nicole Bosch, SLP

• Physical Therapist in Danville, CA
• Providers in Danville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.