Body Therapy Wellness & Aesthetics

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BODY THERAPY WELLNESS & AESTHETICS

Practice address

4422 5TH St W
Bradenton, FL 34207-1531

Phone

(941) 222-1808

Fax

(941) 240-1755

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Juan Lamadrid

Title

Administrator

Phone

(813) 453-6179

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Carmen Guadalupe Jaramillo, DO

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1669902326
  NPD (past)

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1306527155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 5TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071531",
            "telephone_number": "941-222-1808",
            "fax_number": "941-240-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 5TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071531",
            "telephone_number": "941-222-1808",
            "fax_number": "941-240-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY THERAPY WELLNESS & AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "LAMADRID",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-453-6179"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Blair Blunden, PA-C
• Taylor Brianne Bobbitt
• Sol Boccio, L.M.T.
• Astrich Sandra Bodden, ARNP
• Body Renewal Laser Centers LLC
• Violet Emily Bogdanov, MD
• Jake Griffith Bohnenkamp, DC
• Alice Boican, MD
• Angela H. Bokelmann, M.A. CCC-SLP
• Norma Bolanos

• Multi-Specialty Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.