Body by Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1272156 Issued in TX

Legal business name

BODY BY PHYSICAL THERAPY PLLC

Practice address

7777 Southwest Fwy
Suite #640
Houston, TX 77074-1802

Phone

(713) 270-0477

Fax

(713) 270-7655

NPI assigned

Jan 23, 2017

Last updated

Jan 23, 2017By 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

Dr. Taro Wichman, PT, DPT, MTCNPI 1316484736

Title

Physical Therapist, Ceo

Phone

(832) 620-1225

Specialties & licenses 1

Addresses

Locations

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.

• Taro Wichman, PT, DPT, MTC

  • Physical Therapist
  • Houston, TX
  • NPI 1316484736
  NPD (past) Authorized official

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1205373628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772150211",
            "telephone_number": "832-620-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "SUITE #640",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "713-270-0477",
            "fax_number": "713-270-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BY PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "WICHMAN",
        "authorized_official_first_name": "TARO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, CEO",
        "authorized_official_telephone_number": "832-620-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1272156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Renee Bodine, OTR
• Diane Bodurka, M.D.
• Brittani Bodwin
• Body Analysis, Inc
• Body Art Medical & Surgical Weight Loss PLLC
• Body First Health Therapy
• Body Lounge HTX LLC (Total Body Health & Wellness Center)
• Body Right Massage & Body Works (Body Right Massage)
• Katherine Renee Body
• Bodyworks & Fitness Inc.

• Physical Therapy Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.