Body Trainers, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MES 8AG1310 Issued in TX

Legal business name

BODY TRAINERS, LLC

Practice address

1033 La Posada Dr
Austin, TX 78752-3842

Phone

(512) 284-7192

Fax

(512) 284-7203

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Andre John Gremillion Sr., MES, NSCA-CPT

Title

Owner/Medical Exercise Specialist

Phone

(512) 284-7192

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Body Trainers Health & Fitness Training Center Doing business as

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1306145495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523842",
            "telephone_number": "512-284-7192",
            "fax_number": "512-284-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523842",
            "telephone_number": "512-284-7192",
            "fax_number": "512-284-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY TRAINERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "GREMILLION",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/MEDICAL EXERCISE SPECIALIST",
        "authorized_official_telephone_number": "512-284-7192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MES, NSCA-CPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "MES 8AG1310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "225400000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Trainers Health & Fitness Training Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jakoyah Alexis Bodie
• Alexa Bodman, MD
• Erika Melissa Bodoin
• Kelly Johanna Bodu, LMFT
• Body Evolution Acupuncture and Wellness, PLLC
• Neil Odom Boecking, D.C.
• Laural Catherine Boeckman, LPC
• Jane Egan Boedeker-McDonnel, COTA
• Teresa Boehm, M.D.
• Karen Michelle Boeke, PHD

• Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.