BNB Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BNB WELLNESS LLC

Doing business as

Body In Balance

Practice address

1930 Bobby Jones Dr
Johns Creek, GA 30097-2402

Phone

(404) 931-7248

NPI assigned

Jun 25, 2018

Last updated

Jul 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Miller, PT, MPT

Title

Principle

Phone

(404) 931-7248

Specialties & licenses 1

Addresses

Other names 1

• Body In Balance Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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.

• Andrea Vargas O'Neal, MPT

  • Physical Therapist
  • Johns Creek, GA
  • NPI 1386682649
  Medicare reassignment Care Compare group NPD
• Elizabeth Ann Swift, P.T., D.P.T.

  • Physical Therapist
  • Atlanta, GA
  • NPI 1881914992
  Medicare reassignment Care Compare group NPD
• Rachel White, DPT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1851816094

  GA

  Medicare reassignment Care Compare group NPD
• Michelle Ledford, PT MPT

  • Physical Therapist
  • Norcross, GA
  • NPI 1942426937
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1710472600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 FLIPPEN TRL",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923927",
            "telephone_number": "404-931-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BOBBY JONES DR",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972402",
            "telephone_number": "404-931-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNB WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "404-931-7248",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body In Balance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayuri Ashok Bhakta, NP
• Rupesh Kiran Bhakta, O.D.
• Minakshi Bhardwaj
• Kapil Dinesh Bhatia, MD
• Saterah Milik Bigham
• Elisa Tucker Bobbitt, AUD
• Ashley Bobo, LCSW
• Debra Bochenek
• Body-N-Balance
• Shae Boguslawski

• Physical Therapist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.