Body Reform Physical Therapies, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT24206 Issued in CA

Legal business name

BODY REFORM PHYSICAL THERAPIES, INC.

Practice address

9665 Wilshire Blvd
#222
Beverly Hills, CA 90212-2340

Phone

(310) 247-8414

Fax

(310) 247-9414

NPI assigned

Nov 17, 2010

Organization subpart

No

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

Authorized official

Name

Mary P. Harris

Title

Co-Owner

Phone

(310) 247-8414

Specialties & licenses 1

Addresses

Tax ID family

Body Reform2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Body Reform Physical Therapies Inc.

  • Physical Therapy Clinic/Center
  • Beverly Hills, CA
  • NPI 1417175415
  NPD tax ID

Locations

Practitioners 1

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

• Shannon Bruce Harris, P.T.

  • Orthopedic Physical Therapist
  • Beverly Hills, CA
  • NPI 1437450830
  NPD (past)

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1669774014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9665 WILSHIRE BLVD",
            "address_2": "#222",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122340",
            "telephone_number": "310-247-8414",
            "fax_number": "310-247-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9665 WILSHIRE BLVD",
            "address_2": "#222",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122340",
            "telephone_number": "310-247-8414",
            "fax_number": "310-247-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY REFORM PHYSICAL THERAPIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "310-247-8414"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT24206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Bochorishvili, D.D.S.
• David B. Bockoff, M.D.
• Bodies in Balance LLC
• Body Nourishment Wellness Spa
• Body Reform Physical Therapies Inc.
• Bodylogicmd of Bevely Hills
• Jillian C Boettcher, DDS
• Natasha Boghosian, D.D.S.
• Melissa Julie Bohbot
• Stephanie Bolling, MS, PT, OCS

• Physical Therapy Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.