Embody Boss LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EMBODY BOSS LLC

Doing business as

emBODY BOSS Manual Therapeutics & Preventative Health Practice

Practice address

128 E 6TH St
Bloomington, IN 47408-3311

Phone

(812) 583-7891

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chanelle Janette Norman, PT, DPT

Title

Chief Executive Officer

Phone

(812) 583-7891

Specialties & licenses 1

Addresses

Other names 1

• emBODY BOSS Manual Therapeutics & Preventative Health Practice Doing business as

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1316473325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E 6TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474083311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E 6TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474083311",
            "telephone_number": "812-583-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODY BOSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "CHANELLE",
        "authorized_official_middle_name": "JANETTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "812-583-7891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "emBODY BOSS Manual Therapeutics & Preventative Health Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.