Body in Motion & Wellness Corp

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

BODY IN MOTION & WELLNESS CORP

Practice address

19801 Hampton Dr Ste C3
Boca Raton, FL 33434-2840

Phone

(561) 576-3101

Fax

(561) 990-1344

NPI assigned

May 12, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Irin Guardascione

Title

Administrator

Phone

(646) 721-0952

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Comprehensive outpatient rehabilitation facility certification: CCN 693206

Legal name

BODY IN MOTION & WELLNESS CORP

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Apr 10, 2024

Last certification

Apr 10, 2024

Ownership / control type

Proprietary

Facility address

19801 Hampton Dr Ste C3 & C4
Boca Raton, FL 33434

Locations

Practitioners 2

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

• Vivian Fleming Bonilha Neves, PT

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1083227078
  NPD
• Rafael Da Costa Marques, PHYSICAL THERAPIST

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1871893842
  NPD

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1669162608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 HAMPTON DR STE C3",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342840",
            "telephone_number": "561-576-3101",
            "fax_number": "561-990-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 HAMPTON DR STE C3",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342840",
            "telephone_number": "561-576-3101",
            "fax_number": "561-990-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN MOTION & WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "GUARDASCIONE",
        "authorized_official_first_name": "IRIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-721-0952",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurence Scott Bocian, P.T.
• Raymond Alvaro Bocksel Jr., DDS
• Gregory Robert Boco, DPM
• Constance Marie Boczarski, D.C.
• Body Details Management, LLC
• Body Kneads Medical Inc
• James Boellner, CSFA
• Irene Boginsky, DO
• David Parker Bogue, M.D.
• Rochelle Boguslavskiy, DO

• Rehabilitation Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.