Bodyworks Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

020284-1 Issued in NY

Legal business name

BODYWORKS PHYSICAL THERAPY LLC

Practice address

765 Harry L Drive
Johnson City, NY 13790

Phone

(607) 760-9703

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Maria CeruttiNPI 1124264643

Title

Physical Therapist

Phone

(607) 238-1552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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

• Lisa M Cerutti, PT

  • Physical Therapist
  • Johnson City, NY
  • NPI 1124264643

  Single Specialty

  Medicare reassignment NPD Authorized official
• Chrissy Conroe

  • Physical Therapy Assistant
  • Johnson City, NY
  • NPI 1336849736
  NPD
• Amy Rose Welte

  • Physical Therapist
  • Johnson City, NY
  • NPI 1447058656
  NPD
• Deborah P Gaul

  • Physical Therapy Assistant
  • Johnson City, NY
  • NPI 1316530744
  NPD (past)
• Susan Marie Read

  • Physical Therapy Assistant
  • Vestal, NY
  • NPI 1396172094
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1467797571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 HARRY L DR STE C",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901013",
            "telephone_number": "607-760-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 HARRY L DRIVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13790",
            "telephone_number": "607-760-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "CERUTTI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "607-238-1552",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "020284-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassondra Blewett
• Ruth Anne Blizard, PH.D.
• Emily Grace Block, PA-C
• Susan W. Blue, PH.D.
• Michael Bobal, CNIM
• Cameron Alexander Bogicevic, PHARMD
• Shae Lynn Bolander, MD
• Radhika Bompalli, M.D
• Iris Bonilla, MA, CMHC, CART
• Jaclyn Boop-Loope, NP

• Physical Therapy Clinic/Center in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.