Body Opulence Therapy and Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODY OPULENCE THERAPY AND PERFORMANCE

Practice address

1848 E 87TH Ave
Merrillville, IN 46410-7187

Phone

(773) 503-7511

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Bryan Onuselogu, DPT

Title

Physical Therapist

Phone

(773) 503-7511

Specialties & licenses 6

Addresses

Other names 1

• Opulent Rehab Services Doing business as

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1710595608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 SAINT JOE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 E 87TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107187",
            "telephone_number": "773-503-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY OPULENCE THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "ONUSELOGU",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "773-503-7511",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opulent Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boa & Associates
• Marissa Boatright
• Morgan Boatright
• Curtis A Bobier, D.C.
• Casey Bodak
• Jasmine Rae-Nicole Boesel
• Ashley Bohling, PA-C
• Bonnie Jo Boise, MA, CCC-SLP/L
• Nicole Suzanne Bolda I, PT
• Shona Bolden, LMHCA

• Physical Therapist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.