Body Connect Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODY CONNECT PHYSICAL THERAPY INC

Practice address

4066 Verdin PL
Dublin, CA 94568-7423

Phone

(925) 621-0960

NPI assigned

Dec 30, 2019

Organization subpart

No

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

Authorized official

Name

Aniekan Udofia, PT

Title

Owner

Phone

(561) 826-6880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1770122376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 VERDIN PL",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687423",
            "telephone_number": "925-621-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 VERDIN PL",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687423",
            "telephone_number": "925-621-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY CONNECT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "UDOFIA",
        "authorized_official_first_name": "ANIEKAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-826-6880",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Dublin, CA
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• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.