Organization Active NPI

Bodybasics Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Corona, CA
National Provider Identifier
1194904243
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT20982 Issued in CA
Legal business name
BODYBASICS PHYSICAL THERAPY, INC.
Practice address
2275 S Main St
Suite 102
Corona, CA 92882-5303
Phone
(951) 273-7742
NPI assigned
Oct 25, 2007
Organization subpart
Yes
Parent organization
BODYBASICS PHYSICAL THERAPY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Scott Hunsaker, PTNPI 1497752000
Title
President
Phone
(951) 736-5646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT20982 CA Primary

Addresses

Primary practice location

2275 S Main St
Suite 102
Corona, CA 92882-5303

Mailing address

2275 S Main St
Suite 102
Corona, CA 92882-5303
Phone (951) 273-7742

Other names 2

  • Body Basics Physical Therapy Doing business as
  • BodyBasics Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bodybasics Physical Therapy3 organizations share this tax ID, including this one
Part of
Bodybasics Physical Therapy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1194904243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 S MAIN ST",
            "address_2": "SUITE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825303",
            "telephone_number": "951-273-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 S MAIN ST",
            "address_2": "SUITE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825303",
            "telephone_number": "951-273-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYBASICS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BODYBASICS PHYSICAL THERAPY, INC.",
        "enumeration_date": "2007-10-25",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "HUNSAKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-736-5646",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT20982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Basics Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BodyBasics Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BodyBasics Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.