Bodygames

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BODYGAMES

Practice address

3823 Guess Rd
Durham, NC 27705-1505

Phone

(910) 827-3992

NPI assigned

May 14, 2020

Last updated

May 14, 2020By 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

Derick Marcel Coe, DPT

Title

Physical Therapist

Phone

(910) 827-3992

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1346862125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PRIDGEN RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283589726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 GUESS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051505",
            "telephone_number": "910-827-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYGAMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "DERICK",
        "authorized_official_middle_name": "MARCEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "910-827-3992",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174775969",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1174775969",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Derickdpt@gmail.com",
            "affiliation": "N",
            "address_1": "3823 Guess Rd",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277051505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bobby Leathers Jr (Dorothy's House of Care)
• Pearl Ebubechukwu Bobby-Tasie, LCSW-A
• Evan Joseph Bockover, PT, DPT
• Mariusz Bockowski, NP
• Kevin Bode Padron
• Bodyshop Athletic Therapies
• Claire Boe, PT, DPT
• Sara Boeding, PHD
• Christopher Boehlke, MD
• Christopher Brice Boelter, MSN, ACNP-BC

• Physical Therapy Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.