Organization Active NPI

Bodyfix Physical Therapy LLC

  • Physical Therapist
  • Rosemount, MN
National Provider Identifier
1407356157
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7114 Issued in MN
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

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Tatyana E. Simelgor, PTNPI 1821063660
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.