Organization Active NPI

The Body Shoppe Physical Therapy and Performance, PLLC

  • Physical Therapist
  • Cheshire, CT
National Provider Identifier
1205732773
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE BODY SHOPPE PHYSICAL THERAPY AND PERFORMANCE, PLLC
Practice address
700 W Johnson Ave Ste 100
Cheshire, CT 06410-1197
Phone
(203) 535-9736
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Matthew Edwards, DPT, PTNPI 1639785587
Title
Owner
Phone
(203) 535-9736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

700 W Johnson Ave Ste 100
Cheshire, CT 06410-1197

Mailing address

441 Washington Ave Apt 521
North Haven, CT 06473-1356
Phone (203) 535-9736

National Provider Directory

National Provider Directory

Locations

700 W Johnson Ave
Ste 100
Cheshire, CT 06410

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1205732773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 WASHINGTON AVE APT 521",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731356",
            "telephone_number": "203-535-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W JOHNSON AVE STE 100",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101197",
            "telephone_number": "203-535-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODY SHOPPE PHYSICAL THERAPY AND PERFORMANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-535-9736",
        "authorized_official_credential": "DPT, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.