Michelle R. Congleton, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MICHELLE R. CONGLETON, INC.

Doing business as

The Body Studio

Practice address

13751 Roswell Ave
Suite G
Chino, CA 91710-5464

Phone

(909) 591-4800

Fax

(909) 591-6100

NPI assigned

Aug 8, 2006

Last updated

Oct 29, 2009By 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

Miss Orapan Vechsamutvaree

Title

Owner

Phone

(909) 591-4800

Specialties & licenses 1

Addresses

Other names 1

• The Body Studio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Renee Macdonald, M.P.T.

  • Physical Therapist
  • Windsor, CO
  • NPI 1578673133
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1366452062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13751 ROSWELL AVE",
            "address_2": "SUITE G",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105464",
            "telephone_number": "909-591-4800",
            "fax_number": "909-591-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13751 ROSWELL AVE",
            "address_2": "SUITE G",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105464",
            "telephone_number": "909-591-4800",
            "fax_number": "909-591-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE R. CONGLETON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "VECHSAMUTVAREE",
        "authorized_official_first_name": "ORAPAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-591-4800",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Body Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marian M Mikhail, RPH
• Millennium Hospice & Palliative Care, Inc.
• Dante D Millon, PMHNP-BC
• Peter Ki Min

• Physical Therapy Clinic/Center in Chino, CA
• Providers in Chino, 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 Oct 29, 2009; 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.