Bodywise Massage Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BODYWISE MASSAGE INC.

Practice address

1435 4TH St Ste F
San Rafael, CA 94901-2816

Phone

(415) 459-6333

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Tobi LessemNPI 1629597182

Title

Owner

Phone

(707) 652-4163

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Tobi Lessem

  • Massage Therapist
  • Novato, CA
  • NPI 1629597182
  NPD Authorized official
• Stacy West

  • Massage Therapist
  • San Rafael, CA
  • NPI 1538922125
  NPD

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1356934558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 4TH ST STE F",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012816",
            "telephone_number": "415-459-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 4TH ST STE F",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012816",
            "telephone_number": "415-459-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE MASSAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "LESSEM",
        "authorized_official_first_name": "TOBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-652-4163"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bodywisemassageinc.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1435 4th St Ste F",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949012816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cooper Wallace Bloyd, MD
• Sarah Kay Blunt
• Lauren Bocca
• Sarah Bode
• Susan Marie Bodo, RN
• Boero & Pieri DDS a Dental Corporation
• Roger P. Boero, DDS, MSD
• Dawn Boggs
• Quinn Albert Edminster Bohner
• Katherine Bojarski-Rapp, PTA

• Physical Therapy Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.