Bodyshop Athletic Therapies

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

BODYSHOP ATHLETIC THERAPIES

Practice address

1004 San Antonio Blvd
Durham, NC 27703

Phone

(224) 678-4532

NPI assigned

Aug 6, 2025

Organization subpart

No

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

Authorized official

Name

Matthew AielloNPI 1225550346

Title

Owner

Phone

(224) 678-4532

Specialties & licenses 3

Addresses

Practitioners 1

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

• Matthew Aiello, ATC

  • Athletic Trainer
  • Raleigh, NC
  • NPI 1225550346
  NPD Authorized official

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1619852050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SAN ANTONIO BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27703",
            "telephone_number": "224-678-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYSHOP ATHLETIC THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "AIELLO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-678-4532"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "226300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Ebubechukwu Bobby-Tasie, LCSW-A
• Evan Joseph Bockover, PT, DPT
• Mariusz Bockowski, NP
• Kevin Bode Padron
• Bodygames
• Claire Boe, PT, DPT
• Sara Boeding, PHD
• Christopher Boehlke, MD
• Christopher Brice Boelter, MSN, ACNP-BC
• Elena Bogdanova

• Athletic Trainer in Durham, NC
• Providers in Durham, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.