Bodylove Physiotherapy & Wellness PLLC
Organization Active NPI Physical Therapy Clinic/Center · Smithville, TX
NPI 1689363301 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1689363301
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- BODYLOVE PHYSIOTHERAPY & WELLNESS PLLC
- Practice address
- 1611 Reinsch Rd
Smithville, TX 78957-5502 - Phone
- (512) 423-4981
- NPI assigned
- May 8, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Angel Stonedale, PT, DPT
- Title
- Owner
- Phone
- (512) 423-4981
Practitioners 1
-
Angel Young, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230518002817 | TX | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0840656732 |
Receives reassigned benefits from 1 practitioner Practice locations: Smithville, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
1611 Reinsch Rd
Smithville, TX 78957-5502
Mailing address
1611 Reinsch Rd
Smithville, TX 78957-5502
Phone (512) 423-4981
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All providers in Smithville, TX · Physical Therapy Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.