NPIMap

Organization Active NPI

Bodywise LLC

  • Clinic/Center
  • Seattle, WA
National Provider Identifier
1780863969
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA00022659 Issued in WA
Legal business name
BODYWISE LLC
Practice address
3313 W McGraw St
Seattle, WA 98199-3209
Phone
(206) 352-7205
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Susan ChaceNPI 1750560900
Title
Owner
Phone
(206) 352-7205

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA00022659 WA Primary

Addresses

Primary practice location

3313 W McGraw St
Seattle, WA 98199-3209

Mailing address

3313 W McGraw St
Seattle, WA 98199-3209

Other names 1

  • Azula Doing business as

National Provider Directory

National Provider Directory

Locations

3313 W McGraw St
Seattle, WA 98199
Phone (206) 352-7205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1780863969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 W MCGRAW ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 W MCGRAW ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993209",
            "telephone_number": "206-352-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "CHACE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-352-7205"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MA00022659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.