NPIMap

Organization Active NPI

Body Works Physical Therapy

  • Physical Therapist
  • Lowell, MA
National Provider Identifier
1437278744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
130 Issued in MA
Legal business name
BODY WORKS PHYSICAL THERAPY
Practice address
103 Market St
Lowell, MA 01852-1807
Phone
(978) 452-6121
Fax
(978) 452-8991
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michelle Anita Shepard, DPT
Title
Director of Rehab Services
Phone
(978) 452-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 130 MA Primary

Addresses

Primary practice location

103 Market St
Lowell, MA 01852-1807

Mailing address

103 Market St
Lowell, MA 01852-1807
Phone (978) 452-6121

Other identifiers 1

IdentifierTypeStateIssuer
9786473MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437278744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MARKET ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521807",
            "telephone_number": "978-452-6121",
            "fax_number": "978-452-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MARKET ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521807",
            "telephone_number": "978-452-6121",
            "fax_number": "978-452-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WORKS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "DIRECTOR OF REHAB SERVICES",
        "authorized_official_telephone_number": "978-452-6121",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9786473",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • 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.