Bodywise Physical Therapy , LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1183 Issued in NM

Legal business name

BODYWISE PHYSICAL THERAPY , LLC

Practice address

826 Camino de Monte Rey
Suite B-3
Santa Fe, NM 87505-3961

Phone

(505) 983-4882

Fax

(505) 983-9882

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Heather Robertson, BSPT

Title

Co-Owner

Phone

(505) 983-4882

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659425809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 CAMINO DE MONTE REY",
            "address_2": "SUITE B-3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053961",
            "telephone_number": "505-983-4882",
            "fax_number": "505-983-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CAMINO DE MONTE REY",
            "address_2": "SUITE B-3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053961",
            "telephone_number": "505-983-4882",
            "fax_number": "505-983-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE PHYSICAL THERAPY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "505-983-4882",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1183",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian K Boddy
• Cristina Bode, RD
• Body in Motion, LLC
• Body-Centered Psychotherapy
• Body& Soulworks LLC
• Meghan Boerding, RD, LD
• Janelle Bohannon
• Virginia Bohart, MA, LMHC
• Isis Bojorquez
• Mariam H Bokolishvili, S.A.

• Physical Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.