Bodyscape Integrative Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27660 Issued in CA

Legal business name

BODYSCAPE INTEGRATIVE PHYSICAL THERAPY

Practice address

3018 E Colorado Blvd Ste 100
Pasadena, CA 91107-3840

Phone

(626) 449-3900

Fax

(626) 449-4505

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Leslie Ellen Frank, DPTNPI 1972571149

Title

President

Phone

(626) 449-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Ellen Frank, DPT

  • Physical Therapist
  • Pasadena, CA
  • NPI 1972571149

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Melia Christine Flagg, PT, DPT

  • Physical Therapist
  • Pasadena, CA
  • NPI 1093234395

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Arlene Nai-Tse Yang, MSPT, NCS

  • Physical Therapist
  • Pasadena, CA
  • NPI 1891015566

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Erika Leigh Bandy, PT, DPT

  • Physical Therapist
  • La Crescenta, CA
  • NPI 1508335076

  CA, Physical Therapist

  Medicare reassignment NPD
• Aparna Kuvalekar, DPT

  • Physical Therapist
  • Pasadena, CA
  • NPI 1073960613

  CA, Physical Therapist

  Medicare reassignment NPD
• Vivian Amirkhanian, DPT

  • Orthopedic Physical Therapist
  • El Segundo, CA
  • NPI 1417925728
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1154399467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 E COLORADO BLVD STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073840",
            "telephone_number": "626-449-3900",
            "fax_number": "626-449-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 E COLORADO BLVD STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073840",
            "telephone_number": "626-449-3900",
            "fax_number": "626-449-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYSCAPE INTEGRATIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-449-3900",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05566Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Ann Bodell, M.S., M.ED
• Samuel Moore Bodin
• Annette Bodine
• Michelle Lynn Dyck Bodwell, LMFT, ATR
• Body Synergy Physical Therapy, Inc.
• Jessica Miller Boeckmann, M.D.
• Lindsey Rebecca Bogan, M.S.
• Hanna Bogen, M.S., CCC-SLP
• Shakeh Bogharian
• Sandra L Bohle, MA, MFA

• All providers in Pasadena, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.