NPIMap

Organization Active NPI

Body Kneads, Inc

  • Rehabilitation Clinic/Center
  • Providence, RI
National Provider Identifier
1659642106
Registry record updated Jan 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BODY KNEADS, INC
Practice address
251 Waterman St
Providence, RI 02906-5210
Phone
(401) 453-4263
NPI assigned
Jan 14, 2012
Last updated
Jan 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2012

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

Authorized official

Name
Victoria Moutahir, LMTNPI 1982910816
Title
President
Phone
(401) 453-4263

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

251 Waterman St
Providence, RI 02906-5210

Mailing address

251 Waterman St
Providence, RI 02906-5210
Phone (401) 453-4263

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1326499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326499200000",
    "number": "1659642106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065210",
            "telephone_number": "401-453-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065210",
            "telephone_number": "401-453-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY KNEADS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-14",
        "last_updated": "2012-01-14",
        "status": "A",
        "authorized_official_last_name": "MOUTAHIR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-453-4263",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2012; 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.