Body Balance for Performance of Sarasota, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12074 Issued in FL

Legal business name

BODY BALANCE FOR PERFORMANCE OF SARASOTA, INC.

Practice address

5720 Clark Rd
Sarasota, FL 34233-3302

Phone

(941) 929-0900

Fax

(941) 929-0900

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Michael Christopher Via, MSPT

Title

Owner

Phone

(941) 929-0900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1548404395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333302",
            "telephone_number": "941-929-0900",
            "fax_number": "941-929-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333302",
            "telephone_number": "941-929-0900",
            "fax_number": "941-929-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE FOR PERFORMANCE OF SARASOTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "VIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-929-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Donald Bockey, PHARMD, RPH
• Gary K Bockhold, OD
• Ellena Lois Boddie, M.D.
• Gabrielle Nicole Bodkin, LMHC
• Holli Bodner, PSY D
• Body Therapy and Wellness L.L.C.
• Boedecker Counseling Services Inc.
• Rhett Ethan Bogacz, DC
• Megan M Bogart, M.D.
• Christine Lynn Bokman, MD

• Physical Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.