Bodycentral Physical Therapy PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BODYCENTRAL PHYSICAL THERAPY PC

Practice address

3124 N Swan Rd
Tucson, AZ 85712-1227

Phone

(520) 325-4002

Fax

(520) 325-4227

NPI assigned

May 14, 2007

Last updated

Dec 6, 2023By 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

Bobby Ismail, DPTNPI 1295880656

Title

Ceo

Phone

(209) 353-1988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bodycentral Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1629057930

  O20220428000737

  Same enrollment

Locations

Practitioners 84

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.

• Bobby Ismail, P.T.

  • Physical Therapist
  • Modesto, CA
  • NPI 1295880656
  NPD (past) Authorized official
• Alezia Anderson, DPT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1083390314
  NPD
• Spencer Balcom, DPT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1598599136
  NPD
• Albert Bednar, DPT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1538258496
  NPD
• Samantha Lauren Beeman, DPT

  • Orthopedic Physical Therapist
  • Tucson, AZ
  • NPI 1316509649
  NPD
• Brandon Brym, PT,DPT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1992244917
  NPD
• Taylor Burns, DPT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1881385730
  NPD
• Victoria Ann Champagne

  • Physical Therapist
  • Tucson, AZ
  • NPI 1215472279
  NPD
• Thomas Dawson, PT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1386336782
  NPD
• Cristian Enrique De la Cruz, PT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1760074363
  NPD
• Rebecca Maria Dulis, PT, DPT, CSCS

  • Physical Therapist
  • Mesa, AZ
  • NPI 1902510282
  NPD
• Paige Fernandez, PT, DPT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1548951775
  NPD

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1780899369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121227",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121227",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYCENTRAL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-353-1988",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Bodley, O.D.
• Rona Bodman, D.D.S.
• Peter R Bodnar, M.D.
• Kathy Bodwell, LCSW
• Bodycentral Physical Therapy P C
• Bodyworx Center LLC
• Caleb Boehler, DO
• Tracie Boehmlehner, PT, DPT
• Morgan Boehnlein, RD
• Edward Boehringer, DDS

• Customized Equipment (DME) in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Customized Equipment (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.