NPIMap

Organization Active NPI

Body Logic Physical Therapy LLC

  • Physical Therapist
  • Montgomery, AL
National Provider Identifier
1366851966
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH2937 Issued in AL
Legal business name
BODY LOGIC PHYSICAL THERAPY LLC
Practice address
7150 Halcyon Park Dr
Montgomery, AL 36117-7713
Phone
(334) 380-5920
Fax
(334) 380-5921
NPI assigned
Aug 7, 2014
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Mrs. Tiffany Brock Higginbotham, MS, PT
Title
Clinical Director
Phone
(334) 380-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH2937 AL Primary

Addresses

Primary practice location

7150 Halcyon Park Dr
Montgomery, AL 36117-7713

Mailing address

PO Box 242817
Montgomery, AL 36124-2817
Phone (334) 380-5920

National Provider Directory

National Provider Directory

Locations

8117 Old Federal Rd
Montgomery, AL 36117
Phone (334) 380-5920

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1366851966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242817",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242817",
            "telephone_number": "334-380-5920",
            "fax_number": "334-380-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 HALCYON PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177713",
            "telephone_number": "334-380-5920",
            "fax_number": "334-380-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY LOGIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "BROCK",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "334-380-5920",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.