Organization Active NPI

Body in Motion Chiropractic and Rehab PLLC

  • Chiropractor
  • Eufaula, OK
National Provider Identifier
1750549598
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BODY IN MOTION CHIROPRACTIC AND REHAB PLLC
Practice address
137 S Main St
Eufaula, OK 74432-2875
Phone
(918) 689-3030
Fax
(918) 689-2525
NPI assigned
May 29, 2008
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Dr. James Thomas Hickman, D.C.NPI 1801054648
Title
Chiropractor
Phone
(918) 689-3030

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

137 S Main St
Eufaula, OK 74432-2875

Mailing address

137 S Main St
Eufaula, OK 74432-2875
Phone (918) 689-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090213000362 OK Part B Supplier - Clinic/Group Practice 3072678648 Receives reassigned benefits from 2 practitioners
Practice locations: Eufaula, OK

National Provider Directory

National Provider Directory

Locations

201 N Front St
Eufaula, OK 74432
Phone (918) 689-3030

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1750549598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744322875",
            "telephone_number": "918-689-3030",
            "fax_number": "918-689-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744322875",
            "telephone_number": "918-689-3030",
            "fax_number": "918-689-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN MOTION CHIROPRACTIC AND REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-689-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.