Shirley Worth Bodie, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 70050 Issued in FL

Practice address

1338 NW 13TH St
Gainesville, FL 32601-4108

Phone

(352) 224-5004

Fax

(352) 224-5234

NPI assigned

Oct 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hibiscus House Rehab, LLC

  • Rehabilitation Clinic/Center
  • Gainesville, FL
  • NPI 1619276482
  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1407307739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 TWIN LAKES RD",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326405543",
            "telephone_number": "828-280-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014108",
            "telephone_number": "352-224-5004",
            "fax_number": "352-224-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODIE",
        "first_name": "SHIRLEY WORTH",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 70050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kingsley Bobilin, PA-C
• Sabrina Bobo
• Mary V Bobowiec, LMHC
• Ashley Bobroff
• Scott Bodendorfer, RPH
• Bodies in Balance Acupuncture, Inc.
• Latara M Bodison
• Brandon Karl Bodlak, D.O.
• Nicole Elizabeth Boehm
• Gretel Boehme, PHARMD

• Massage Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.