Body in Sync Physical Therapy, LTD.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BODY IN SYNC PHYSICAL THERAPY, LTD.

Practice address

19815 S la Grange Rd
Mokena, IL 60448-8348

Phone

(779) 803-2014

NPI assigned

Dec 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Valerie Alyse Williams, PT, DPT

Title

President

Phone

(779) 803-2014

Specialties & licenses 1

Addresses

Other names 1

• Body in Sync Physical Therapy Doing business as

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1578035994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 W HICKORY CREEK DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239099",
            "telephone_number": "779-803-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19815 S LA GRANGE RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488348",
            "telephone_number": "779-803-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN SYNC PHYSICAL THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ALYSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "779-803-2014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body in Sync Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather A Bjorklund, LCPC
• Kaitlyn Blackburn, LSW
• Paula E. Blair, FNP
• David Richard Blaski, OTR/L
• Jessica Lauren Blough, M.A., BCBA
• Bone & Joint Surgeons, LTD
• Samantha Bonzani, FNP-BC
• Katie Boothe
• Kerry Bouck
• Kathryn Boudouris, MS, OTR/L

• All providers in Mokena, IL
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.