Active NPI
Body Werks Physical Therapy PLLC
- Physical Therapist
- Fredonia, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021033
- Legal business name
- BODY WERKS PHYSICAL THERAPY PLLC
- Practice address
- 276 W Main St
Fredonia, NY 14063-2234 - Phone
- (716) 680-8180
- Fax
- (716) 680-8181
- NPI assigned
- Oct 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jolie Anne Mandell, PT
- Title
- Owner/PT
- Phone
- (716) 680-8180
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021033 | NY | Primary |
Addresses
Primary practice location
276 W Main St
Fredonia, NY 14063-2234
Mailing address
276 W Main St
Fredonia, NY 14063-2234
Phone (716) 680-8180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141210001228 | NY | Part B Supplier - Clinic/Group Practice | 9335461912 |
Receives reassigned benefits from 1 practitioner Practice locations: Fredonia, NY |
National Provider Directory
National Provider DirectoryLocations
8746 Erie Rd
#A
Angola, NY 14006
Phone (716) 549-4999
183 E Main St
Ste 110
Fredonia, NY 14063
Phone (716) 549-4999
276 W Main St
Fredonia, NY 14063
Phone (716) 680-8180
183 E Main St
Ste 102
Fredonia, NY 14063
183 E Main St
Ste 105
Fredonia, NY 14063
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Angola, NY
- NPI 1851847636
-
- Emergency Medicine Physician
- Lancaster, NY
- NPI 1073537445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1669875415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 W MAIN ST",
"city": "FREDONIA",
"state": "NY",
"postal_code": "140632234",
"telephone_number": "716-680-8180",
"fax_number": "716-680-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 W MAIN ST",
"city": "FREDONIA",
"state": "NY",
"postal_code": "140632234",
"telephone_number": "716-680-8180",
"fax_number": "716-680-8181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY WERKS PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-07",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "MANDELL",
"authorized_official_first_name": "JOLIE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER/PT",
"authorized_official_telephone_number": "716-680-8180",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "021033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredonia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.