Praxis Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRAXIS CORPORATION

Practice address

9 Yellow Wood Way
Beckley, WV 25801-7126

Phone

(304) 255-2376

Fax

(304) 255-7120

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Michael P Bates, PT

Title

President PT Ceo

Phone

(304) 255-2376

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Bodyworks Health Fitness Rehabilitation Other name

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1467532598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 YELLOW WOOD WAY",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017126",
            "telephone_number": "304-255-2376",
            "fax_number": "304-255-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 YELLOW WOOD WAY",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017126",
            "telephone_number": "304-255-2376",
            "fax_number": "304-255-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT PT CEO",
        "authorized_official_telephone_number": "304-255-2376",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001710560",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7926084",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240019000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMP",
            "identifier": "371681200",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1196527",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "223194",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI4026",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodyworks Health Fitness Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marcel Prado
• Prakash Puranik PLLC
• Tina Louise Prater
• Promise Prather
• Praxair Healthcare Services, Inc.
• Precision Orthopaedics
• Precision Wellness LLC
• Premier Pharmacy & Wellness Inc
• Prestige Pharmacy L.L.C
• Andrew Price

• Physical Therapy Clinic/Center in Beckley, WV
• Providers in Beckley, WV by specialty
• Physical Therapy Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.