NPIMap

Organization Active NPI

Bodyworkspt, Inc.

  • Geriatric Physical Therapist
  • Yorba Linda, CA
National Provider Identifier
1619360443
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
W20234 Issued in CA
Legal business name
BODYWORKSPT, INC.
Practice address
5122 Casa Loma Ave
Yorba Linda, CA 92886-3943
Phone
(714) 724-2575
Fax
(714) 993-9878
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Miss Christine Dragoo Baranick, DPTNPI 1922081710
Title
Physical Therapist
Phone
(714) 724-2575

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
Geriatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251G0304X W20234 CA Primary

Addresses

Primary practice location

5122 Casa Loma Ave
Yorba Linda, CA 92886-3943

Mailing address

5122 Casa Loma Ave
Yorba Linda, CA 92886-3943
Phone (714) 724-2575

National Provider Directory

National Provider Directory
Tax ID family
Bodyworkspt Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1619360443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 CASA LOMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863943",
            "telephone_number": "714-724-2575",
            "fax_number": "714-993-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 CASA LOMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863943",
            "telephone_number": "714-724-2575",
            "fax_number": "714-993-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKSPT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "BARANICK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "DRAGOO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "714-724-2575",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "W20234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.