NPIMap

Organization Active NPI

Bodybasics Physical Therapy, Inc.

Doing business as Body Basics Physical Therapy

  • Physical Therapy Clinic/Center
  • Norco, CA
National Provider Identifier
1487651097
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BODYBASICS PHYSICAL THERAPY, INC.
Doing business as
Body Basics Physical Therapy
BodyBasics Physical Therapy
Practice address
3178 Hamner Ave Ste 4
Norco, CA 92860-1936
Phone
(951) 736-5646
Fax
(951) 736-5694
NPI assigned
Jun 29, 2005
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Scott Hunsaker, PTNPI 1497752000
Title
President
Phone
(951) 736-5646

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 Therapy Clinic/Center 261QP2000X CA Primary

Addresses

Primary practice location

3178 Hamner Ave Ste 4
Norco, CA 92860-1936

Mailing address

2275 S Main St Ste 102
Corona, CA 92882-5303
Phone (951) 273-7742

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ09067ZOtherCABLUE SHIELD OF CALIFORNIA

Other names 2

  • Body Basics Physical Therapy Doing business as
  • BodyBasics Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001050 CA Part B Supplier - Clinic/Group Practice 2365413861 Receives reassigned benefits from 18 practitioners
Practice locations: Norco, CA; Corona, CA; Eastvale, CA

National Provider Directory

National Provider Directory
Tax ID family
Bodybasics Physical Therapy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2275 S Main St
Ste 102
Corona, CA 92882
Phone (951) 273-7742

3178 Hamner Ave
Ste 4
Norco, CA 92860
Phone (951) 736-5646

3179 Hamner Ave
Ste 7
Norco, CA 92860
Phone (951) 736-5646

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1487651097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 S MAIN ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825303",
            "telephone_number": "951-273-7742",
            "fax_number": "951-273-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3178 HAMNER AVE STE 4",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601936",
            "telephone_number": "951-736-5646",
            "fax_number": "951-736-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYBASICS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "HUNSAKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-736-5646",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ09067Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Basics Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BodyBasics Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BodyBasics Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.