Organization Active NPI

Body Works Therapy Center LLC

  • Orthopedic Physical Therapist
  • West Allis, WI
National Provider Identifier
1508940024
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3621-024 Issued in WI
Legal business name
BODY WORKS THERAPY CENTER LLC
Practice address
9400 W Lincoln Ave
West Allis, WI 53227-2306
Phone
(414) 545-2561
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Bernard Todd Pratte, PT
Title
Manager
Phone
(414) 545-2561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 3621-024 WI Primary

Addresses

Primary practice location

9400 W Lincoln Ave
West Allis, WI 53227-2306

Mailing address

9400 W Lincoln Ave
West Allis, WI 53227-2306

National Provider Directory

National Provider Directory

Locations

10335 W Oklahoma Ave
Milwaukee, WI 53227
Phone (414) 327-1800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1508940024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272306",
            "telephone_number": "414-545-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WORKS THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "PRATTE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-545-2561",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "3621-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.