NPIMap

Organization Active NPI

Body One Health and Fitness Center, LLC

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1528092442
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002149A Issued in IN
Legal business name
BODY ONE HEALTH AND FITNESS CENTER, LLC
Practice address
8902 N Meridian St
Ste 215
Indianapolis, IN 46260-5382
Phone
(317) 581-1890
Fax
(317) 581-2436
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Dr. Brian Jerome Pease, P.T.NPI 1356386668
Title
Owner
Phone
(317) 581-1890

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 05002149A IN Primary

Addresses

Primary practice location

8902 N Meridian St
Ste 215
Indianapolis, IN 46260-5382

Mailing address

8902 N Meridian St Ste 120
Indianapolis, IN 46260-5306
Phone (317) 581-1890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802000199 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395715007 Receives reassigned benefits from 18 practitioners
Practice locations: Indianapolis, IN; Zionsville, IN; Fishers, IN

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

10412 Allisonville Rd
Ste 117
Fishers, IN 46038
Phone (317) 567-8500

10412 Allisonville Rd
Fishers, IN 46038
Phone (317) 770-5775

8902 N Meridian St
Ste 215
Indianapolis, IN 46260
Phone (317) 581-1890

3222 E State Road 32
Westfield, IN 46074
Phone (317) 867-3206

320 E Main St
Westfield, IN 46074
Phone (317) 581-1890

70 Brendon Way
Zionsville, IN 46077
Phone (317) 733-2800

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1528092442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306",
            "telephone_number": "317-581-1890",
            "fax_number": "317-581-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST",
            "address_2": "STE 215",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605382",
            "telephone_number": "317-581-1890",
            "fax_number": "317-581-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY ONE HEALTH AND FITNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "PEASE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-581-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002149A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.