Body Evolution LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BODY EVOLUTION LLC

Practice address

1450 Madruga Ave Ste 405
Coral Gables, FL 33146-3165

Phone

(386) 747-8634

NPI assigned

May 21, 2021

Last updated

May 21, 2021By 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

Danielle Dea, DPT

Title

Ambr

Phone

(386) 747-8634

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1225603301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 SW 52ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555711",
            "telephone_number": "386-747-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MADRUGA AVE STE 405",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463165",
            "telephone_number": "386-747-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY EVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "DEA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "386-747-8634",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "danielle@bephysicaltherapy.com",
            "affiliation": "N",
            "address_1": "1450 Madruga Ave Ste 405",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331463165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Glad Blythe, M.D.
• Stephen Earl Blythe, M.D.
• Calista Boaz
• Gustavo Adolfo Bobadilla, OTR/L
• Body and Mind Wellness Center, Inc
• Body in Balance Physical Therapy PLLC
• Laurentiu Marian Boeru, MD
• Alexia Bogle
• Daniel Boix, BCABA
• Ivette Bombino Rodriguez

• Physical Therapy Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.