Bodies in Balance Medical Group PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BODIES IN BALANCE MEDICAL GROUP PLLC

Practice address

4151 SW Fwy
Ste 210
Houston, TX 77027-7312

Phone

(713) 395-6308

Fax

(713) 758-0153

NPI assigned

Nov 28, 2011

Organization subpart

No

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

Authorized official

Name

Emilio R Cardona, MD

Title

Owner

Phone

(713) 395-6308

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1235406729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25401",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772655401",
            "telephone_number": "713-395-6308",
            "fax_number": "713-758-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 SW FWY",
            "address_2": "STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277312",
            "telephone_number": "713-395-6308",
            "fax_number": "713-758-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODIES IN BALANCE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-395-6308",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E5353",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "E5353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna Bodenhamer
• Carol Bodenheimer, M.D.
• Bodhi Counseling and Consulting PLLC
• Bodied Chiropractic Clinic
• Bodies in Balance
• Jason Michael Bodiford, MD
• James A Bodin, MD
• Kelley Renee Bodine, OTR
• Diane Bodurka, M.D.
• Brittani Bodwin

• Physical Medicine & Rehabilitation Physician in Houston, TX
• Providers in Houston, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.