Body and Sport DFW

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

Legal business name

BODY AND SPORT DFW

Practice address

2601 Sagebrush Dr Ste 104
Flower Mound, TX 75028-2744

Phone

(972) 899-8002

Fax

(972) 899-8003

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Phillips

Title

Office Manager

Phone

(972) 899-8002

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter T Gonyeau, DC

  • Chiropractor
  • Flower Mound, TX
  • NPI 1679631451
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1578225892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LONG PRAIRIE RD STE 107-845",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224832",
            "telephone_number": "972-899-8002",
            "fax_number": "972-899-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SAGEBRUSH DR STE 104",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282744",
            "telephone_number": "972-899-8002",
            "fax_number": "972-899-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY AND SPORT DFW",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-899-8002"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Lyndon Boatman, NP
• Bob Ochulo (Best Clinical Lab)
• Christopher Boban
• Bobby Chu, M.D., P.a.
• Bobby L. Fisher Chiropractic, P.a.
• Taffy Boggan, RNFA
• Hautina K Bollinger, PH.D.
• Silvia Soledad Bonilla, PMHNP-BC
• Kimberly R Bookout, DNP, RN, CPNP
• Charles Bost, LPC

• Occupational Health Nurse Practitioner in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Occupational Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.