NPIMap

Organization Active NPI

Body Power Physical Therapy, P C

  • Exclusive Provider Organization
  • Freeport, NY
National Provider Identifier
1609845056
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
009705 Issued in NY
Legal business name
BODY POWER PHYSICAL THERAPY, P C
Practice address
49 Church St
Freeport, NY 11520-3830
Phone
(516) 623-6253
Fax
(516) 623-8450
NPI assigned
Mar 17, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Mrs. Babu S. Moses, PT, DSC. , ECS, MTCNPI 1962442681
Title
Propriter
Phone
(516) 623-6253

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
Exclusive Provider Organization 302F00000X 009705 NY Primary

Addresses

Primary practice location

49 Church St
Freeport, NY 11520-3830

Mailing address

49 Church St
Freeport, NY 11520-3830
Phone (516) 623-6253

Other identifiers 1

IdentifierTypeStateIssuer
02088379MedicaidNY

Other names 1

  • Mind & Body Power, Inc. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1609845056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203830",
            "telephone_number": "516-623-6253",
            "fax_number": "516-623-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203830",
            "telephone_number": "516-623-6253",
            "fax_number": "516-623-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY POWER PHYSICAL THERAPY, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "BABU",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PROPRITER",
        "authorized_official_telephone_number": "516-623-6253",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DSC. , ECS, MTC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "009705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02088379",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind & Body Power, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Freeport, NY

Sources for this page

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