Body Shop Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODY SHOP PHYSICAL THERAPY PC

Practice address

614 Sherrill Road
Sherrill, NY 13461-1452

Phone

(315) 361-9620

Fax

(315) 361-9621

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By 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

Mr. Jeffrey Silus Brown, PT

Title

Owner Physical Therapist

Phone

(315) 361-9620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Jeffry Silus Brown, PT,CERT MDT

  • Physical Therapist
  • Sherrill, NY
  • NPI 1679586176
  Medicare reassignment NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235264094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 SHERRILL ROAD",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611452",
            "telephone_number": "315-361-9620",
            "fax_number": "315-361-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 SHERRILL ROAD",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611452",
            "telephone_number": "315-361-9620",
            "fax_number": "315-361-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SHOP PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SILUS",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "315-361-9620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Kathleen Allen, MS, CCC-SLP
• Minousha Zamra Bari, OTRL
• Colleen Tracey Bennett
• Adrienne D Bornemann, LCAT, MS, MT-BC
• Jeffry Silus Brown, PT,CERT MDT
• Ann Ryan Bruzzese
• Robert Wesley Burdick, MD
• Communicare Services, LLC

• Physical Therapist in Sherrill, NY
• Providers in Sherrill, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.