Active NPI
Body Works Therapy Center LLC
- Orthopedic Physical Therapist
- West Allis, WI
National Provider Identifier
1508940024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 3621-024
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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 DirectoryLocations
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.
-
- Physical Therapist
- West Allis, WI
- NPI 1558445809
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.