NPIMap

Organization Active NPI

Body Systems Limited Liability Company

  • Physical Therapy Clinic/Center
  • Anchorage, AK
National Provider Identifier
1316440100
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1191 Issued in AK
Legal business name
BODY SYSTEMS LIMITED LIABILITY COMPANY
Practice address
5185 W 80TH Ave
Anchorage, AK 99502-4114
Phone
(907) 351-2052
NPI assigned
Mar 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
David Pat Disselbrett, MSPT, JSCCNPI 1881864692
Title
Owner
Phone
(907) 351-2052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1191 AK Primary

Addresses

Primary practice location

5185 W 80TH Ave
Anchorage, AK 99502-4114

Mailing address

5185 W 80TH Ave
Anchorage, AK 99502-4114
Phone (907) 351-2052

Other names 1

  • Body Systems Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1316440100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 W 80TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024114",
            "telephone_number": "907-351-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 W 80TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024114",
            "telephone_number": "907-351-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SYSTEMS LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DISSELBRETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-351-2052",
        "authorized_official_credential": "MSPT, JSCC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "1191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Systems Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.