NPIMap

Organization Active NPI

Bodyworx Physical Therapy, PLLC

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1669809877
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4120 Issued in OK
Legal business name
BODYWORX PHYSICAL THERAPY, PLLC
Practice address
5617 S. E. 67TH Street
Oklahoma City, OK 73135
Phone
(405) 455-7860
Fax
(405) 455-7865
NPI assigned
Oct 2, 2013
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Phillicia L Hawkins, PTNPI 1841456928
Title
Owner/Manager
Phone
(405) 455-7860

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
Physical Therapist 225100000X 4120 OK Primary

Addresses

Primary practice location

5617 S. E. 67TH Street
Oklahoma City, OK 73135

Mailing address

5617 S. E. 67TH Street
Oklahoma City, OK 73135
Phone (405) 455-7860

Other identifiers 1

IdentifierTypeStateIssuer
200518240AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140311000273 OK Part B Supplier - Clinic/Group Practice 9830329952 Receives reassigned benefits from 7 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

8809 S Sooner Rd
Ste E
Oklahoma City, OK 73135
Phone (405) 455-7860

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1669809877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 S. E. 67TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73135",
            "telephone_number": "405-455-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 S. E. 67TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73135",
            "telephone_number": "405-455-7860",
            "fax_number": "405-455-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORX PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "PHILLICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "405-455-7860",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200518240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.