Organization Active NPI

Body Werks Physical Therapy PLLC

  • Physical Therapist
  • Fredonia, NY
National Provider Identifier
1669875415
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021033 Issued in NY
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

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Mrs. Jolie Anne Mandell, PTNPI 1902996051
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20141210001228 NY Part B Supplier - Clinic/Group Practice 9335461912 Receives reassigned benefits from 1 practitioner
Practice locations: Fredonia, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.