NPIMap

Organization Active NPI

Body Therapeutics

  • Registered Dietitian
  • Worcester, MA
National Provider Identifier
1467736926
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3128 Issued in MA
Legal business name
BODY THERAPEUTICS
Practice address
102 Shore Dr
Suite 104
Worcester, MA 01605-3154
Phone
(508) 853-7500
Fax
(508) 853-7505
NPI assigned
Oct 3, 2011
Last updated
Oct 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Jennifer Caron, LIC. AC.NPI 1609006717
Title
Founder, Licensed Acupuncturist
Phone
(508) 853-7500

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
Registered Dietitian 133V00000X 3128 MA Primary

Addresses

Primary practice location

102 Shore Dr
Suite 104
Worcester, MA 01605-3154

Mailing address

102 Shore Dr
Suite 104
Worcester, MA 01605-3154
Phone (508) 853-7500

National Provider Directory

National Provider Directory
Tax ID family
Body Therapeutics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, 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": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1467736926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SHORE DR",
            "address_2": "SUITE 104",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053154",
            "telephone_number": "508-853-7500",
            "fax_number": "508-853-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SHORE DR",
            "address_2": "SUITE 104",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053154",
            "telephone_number": "508-853-7500",
            "fax_number": "508-853-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "CARON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FOUNDER, LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "508-853-7500",
        "authorized_official_credential": "LIC. AC."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.