Active NPI
Bodyfix Physical Therapy LLC
- Physical Therapist
- Rosemount, MN
National Provider Identifier
1407356157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7114
- Legal business name
- BODYFIX PHYSICAL THERAPY LLC
- Practice address
- 13956 Clover LN
Rosemount, MN 55068-7145 - Phone
- (651) 417-2121
- NPI assigned
- Feb 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tatyana E. Simelgor, PT
- Title
- Physical Therapist
- Phone
- (651) 417-2121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7114 | MN | Primary |
Addresses
Primary practice location
13956 Clover LN
Rosemount, MN 55068-7145
Mailing address
13956 Clover LN
Rosemount, MN 55068-7145
Phone (952) 200-6664
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Apple Valley, MN
- NPI 1821063660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519084800000",
"number": "1407356157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13956 CLOVER LN",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550687145",
"telephone_number": "952-200-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13956 CLOVER LN",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550687145",
"telephone_number": "651-417-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODYFIX PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A",
"authorized_official_last_name": "SIMELGOR",
"authorized_official_first_name": "TATYANA",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "651-417-2121",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MN",
"license": "7114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosemount, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.