NPIMap

Organization Active NPI

Bodycentral Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Tucson, AZ
National Provider Identifier
1629057930
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BODYCENTRAL PHYSICAL THERAPY P C
Practice address
4811 E Grant Rd Ste 147
Tucson, AZ 85712-2775
Phone
(435) 673-4303
NPI assigned
Jan 13, 2006
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Bobby Ismail, DPT
Title
Ceo
Phone
(209) 353-1988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4811 E Grant Rd Ste 147
Tucson, AZ 85712-2775

Mailing address

3124 N Swan Rd
Tucson, AZ 85712-1227
Phone (520) 325-4002

Other practice location 1

3601 W Cortaro Farms Rd
Tucson, AZ 85742-8645
Phone (520) 325-4002

Other practice location 2

3124 N Swan Rd
Tucson, AZ 85712-1227
Phone (520) 325-4002 ext. 105

Other practice location 3

1991 E Ajo Way Ste 149
Tucson, AZ 85713-6269
Phone (520) 325-4002

Other practice location 4

1640 E River Rd Ste 110
Tucson, AZ 85718-7645
Phone (520) 325-4002

Other practice location 5

3501 E Speedway Blvd Ste 145
Tucson, AZ 85716-3917
Phone (520) 325-4002

Other practice location 6

1040 S Harrison Rd Ste 100
Tucson, AZ 85748-6601
Phone (520) 325-4002

Other practice location 7

7493 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 325-4002

Other practice location 8

8327 N Oracle Rd
Tucson, AZ 85704-7313
Phone (520) 325-4002

Other practice location 9

1231 W Warner Rd Ste 101
Tempe, AZ 85284-1907
Phone (623) 250-3223

Other practice location 10

6303 E Broadway Blvd
Tucson, AZ 85710-3546
Phone (520) 325-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040226000222 AZ Part B Supplier - Clinic/Group Practice 2466348701 Receives reassigned benefits from 58 practitioners
Practice locations: Tucson, AZ; Tempe, AZ; Mesa, AZ
O20220428000737 AZ DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 2466348701 1 other NPI on this enrollment
Practice locations: Tucson, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2051 S Dobson Rd
Ste 1
Mesa, AZ 85202
Phone (480) 573-0528

1040 S Harrison Rd
Ste 100
Tucson, AZ 85748
Phone (520) 485-5454

1540 E Riv Rd Ste 110
Tucson, AZ 85718

1991 E Ajo Way
Tucson, AZ 85713
Phone (520) 485-5454

1991 E Ajo Way
Ste 149
Tucson, AZ 85713
Phone (520) 485-5454

3601 W Cortaro Farms Rd
Tucson, AZ 85742

3601 W Cortaro Farms Rd
Ste 155
Tucson, AZ 85742
Phone (520) 355-7892

4811 E Grant Rd
Ste 147
Tucson, AZ 85712
Phone (435) 673-4303

6303 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 276-1654

8327 N Oracle Rd
Tucson, AZ 85704
Phone (520) 355-6909

Practitioners & affiliated clinicians

Practitioners 88

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.

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1629057930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121227",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 E GRANT RD STE 147",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122775",
            "telephone_number": "435-673-4303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W Cortaro Farms Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857428645",
            "country_code": "US",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3124 N Swan Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121227",
            "country_code": "US",
            "telephone_number": "520-325-4002 x105",
            "fax_number": "520-325-4227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1991 E Ajo Way Ste 149",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136269",
            "country_code": "US",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 E River Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857187645",
            "country_code": "US",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 E Speedway Blvd Ste 145",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857163917",
            "country_code": "US",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 S Harrison Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857486601",
            "country_code": "US",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7493 E Tanque Verde Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857153477",
            "country_code": "US",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8327 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857047313",
            "country_code": "US",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1231 W Warner Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852841907",
            "country_code": "US",
            "telephone_number": "623-250-3223",
            "fax_number": "625-250-5338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6303 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857103546",
            "country_code": "US",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODYCENTRAL PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-353-1988",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.