Body Wise Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BODY WISE PHYSICAL THERAPY PLLC

Practice address

2717 W Bannock St Ste 101
Boise, ID 83702-4724

Phone

(208) 972-0572

Fax

(208) 639-2906

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Winston Hoggatt, PTNPI 1356546865

Title

Manager/Director

Phone

(208) 841-9900

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.

• Douglas Winston Hoggatt, P.T.

  • Geriatric Physical Therapist
  • Boise, ID
  • NPI 1356546865
  NPD Authorized official

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1154911493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 W BANNOCK ST STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024724",
            "telephone_number": "208-972-0572",
            "fax_number": "208-639-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 W BANNOCK ST STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024724",
            "telephone_number": "208-972-0572",
            "fax_number": "208-639-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WISE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "HOGGATT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "MANAGER/DIRECTOR",
        "authorized_official_telephone_number": "208-841-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory N Bodily, O.D.
• Kathrin Bodine, NP
• Bodo Chiropractic
• Body Mechanics LLC
• Body of a Champion Chiropractic, PC
• Kathryn West Boedeker, MS, LPC, NCC
• Jess Seymour Boeder, MS., CCC, SLP
• Kimberly Ann Boenig, PTA
• Mark J Boerner, M.D.
• Brian Max Boesiger, M.D.

• Physical Therapy Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.