Body and Mind Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01110200 Issued in NJ

Legal business name

BODY AND MIND PHYSICAL THERAPY PC

Practice address

1037 Route 46
Suite 202
Clifton, NJ 07013-2451

Phone

(973) 253-8500

Fax

(973) 253-8503

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anna Maria Poblete, DPT

Title

President

Phone

(973) 253-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1508063579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 46",
            "address_2": "SUITE 202",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132451",
            "telephone_number": "973-253-8500",
            "fax_number": "973-253-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 46",
            "address_2": "SUITE 202",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132451",
            "telephone_number": "973-253-8500",
            "fax_number": "973-253-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY AND MIND PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "POBLETE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-253-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01110200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluejay Health
• Melody Bobe
• Alexis C. Bobila, M.D.
• Charo Balagtas Bodiongan
• Lesly Yaneth Bodnar, PH.D
• Body Wellness Center LLC
• Jodi Bogle
• Sarah Amelia Bornstein, APN
• Oksana Boroday
• John Bortolussi, D.C.

• Physical Therapy Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.