Organization Active NPI

Body Harmony Physical Therapy

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1619356490
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17758 Issued in CA
Legal business name
BODY HARMONY PHYSICAL THERAPY
Practice address
1940 Calgary LN
Los Angeles, CA 90077-2805
Phone
(310) 717-9008
NPI assigned
May 26, 2015
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Ms. Roseanne Marie Fabrizio, PTNPI 1134310220
Title
Owner
Phone
(310) 717-9008

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 17758 CA Primary

Addresses

Primary practice location

1940 Calgary LN
Los Angeles, CA 90077-2805

Mailing address

1940 Calgary LN
Los Angeles, CA 90077-2805
Phone (310) 717-9008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150721000294 CA Part B Supplier - Clinic/Group Practice 3870806896 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1619356490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 CALGARY LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772805",
            "telephone_number": "310-717-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 CALGARY LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772805",
            "telephone_number": "310-717-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY HARMONY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "FABRIZIO",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-717-9008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "17758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.