Body Stabilization Training, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6482 Issued in AZ

Legal business name

BODY STABILIZATION TRAINING, INC.

Practice address

2211 E Highland Ave Ste 100
Phoenix, AZ 85016-4833

Phone

(602) 522-9419

Fax

(602) 522-9458

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 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

Ms. Terry A Roach, M.ED., RKT

Title

Owner

Phone

(602) 522-9419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376697284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 E HIGHLAND AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164833",
            "telephone_number": "602-522-9419",
            "fax_number": "602-522-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E HIGHLAND AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164833",
            "telephone_number": "602-522-9419",
            "fax_number": "602-522-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY STABILIZATION TRAINING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-522-9419",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., RKT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.