Organization Active NPI

Body Elite Physical Therapy Inc

  • Specialist
  • Winchester, VA
National Provider Identifier
1659430882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2305202888 Issued in VA
Legal business name
BODY ELITE PHYSICAL THERAPY INC
Practice address
3052 Valley Ave
Suite 101
Winchester, VA 22601-2673
Phone
(540) 535-7222
Fax
(540) 535-1271
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karie Newman, MPTNPI 1841298601
Title
Owner
Phone
(540) 535-7222

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 2305202888 VA Primary

Addresses

Primary practice location

3052 Valley Ave
Suite 101
Winchester, VA 22601-2673

Mailing address

3052 Valley Ave
Suite 101
Winchester, VA 22601-2673
Phone (540) 535-7222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050624000566 VA Part B Supplier - Clinic/Group Practice 8224073705 Receives reassigned benefits from 5 practitioners
Practice locations: Winchester, VA

National Provider Directory

National Provider Directory

Locations

3031 Valley Ave
Ste 106
Winchester, VA 22601
Phone 54053372222

3052 Valley Ave
Ste 101
Winchester, VA 22601
Phone (540) 535-7222

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659430882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 VALLEY AVE",
            "address_2": "SUITE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012673",
            "telephone_number": "540-535-7222",
            "fax_number": "540-535-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 VALLEY AVE",
            "address_2": "SUITE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012673",
            "telephone_number": "540-535-7222",
            "fax_number": "540-535-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY ELITE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "KARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-535-7222",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "2305202888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • 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.
  • 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.