Body Therapy Shop Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODY THERAPY SHOP INC.

Practice address

300 S Broadway Ave
Urbana, IL 61801-3302

Phone

(217) 531-8287

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ricky Cummings

Title

Owner

Phone

(217) 531-8287

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1609031640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BROADWAY AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013302",
            "telephone_number": "217-531-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BROADWAY AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013302",
            "telephone_number": "217-531-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY THERAPY SHOP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-531-8287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blueprint
• Nicole Elizabeth Blum, MD
• Joseph Adjei Boachie, MD
• Michelle A Bobinski, NP
• Christopher K Bodine, MD
• Thomas Boenig, M.D.
• Abigail Boethin, P.A.-C
• Nancy Bollero, NP
• Bryan A Bolser, NP
• Heather Bolser, APN, CNP

• Physical Therapist in Urbana, IL
• Providers in Urbana, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.