Mbody Physical Therapy and Wellness Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MBODY PHYSICAL THERAPY AND WELLNESS INC.

Practice address

1094 Glenbridge Cir
Westlake Village, CA 91361-3323

Phone

(913) 522-6640

NPI assigned

Apr 18, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Haley Yip, DPTNPI 1467843532

Title

Director of Physical Therapy/Owner

Phone

(913) 522-6640

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haley Yip, DPT

  • Physical Therapist
  • Westlake Village, CA
  • NPI 1467843532
  Medicare reassignment Care Compare group NPD Authorized official
• Cambria Oetken, PT, DPT

  • Physical Therapist
  • Westlake Village, CA
  • NPI 1942907944
  Medicare reassignment Care Compare group NPD
• Ariana Jones

  • Physical Therapist
  • Woodland Hills, CA
  • NPI 1750937967
  Medicare reassignment NPD
• Alison Marie Palacios, DPT

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1225685910
  Medicare reassignment NPD
• Stefania Kononenko, PT, DPT

  • Physical Therapist
  • Westlake Village, CA
  • NPI 1225887862
  NPD

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1295478253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 GLENBRIDGE CIR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613323",
            "telephone_number": "913-522-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 GLENBRIDGE CIR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613323",
            "telephone_number": "913-522-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBODY PHYSICAL THERAPY AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "YIP",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY/OWNER",
        "authorized_official_telephone_number": "913-522-6640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Dawe, M.D., Inc.
• Sage Matura
• Heidi L Mauch, PT
• Dyonette Mayer, LCSW
• Gretchen Sheyna Mayer, LCSW
• Emily McAllister
• Lyle Ann McClain, LMFT
• Sally McClain, LCSW
• Leonardo McCormick, PT, DPT
• Katherine Anne McCune, RD,MA

• Physical Therapist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.