Organization Active NPI

Bodywise Physical Therapy and Pilates PC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1801055736
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007485 Issued in NY
Legal business name
BODYWISE PHYSICAL THERAPY AND PILATES PC
Practice address
1556 3Rd Ave Ste 604
New York, NY 10128-3161
Phone
(646) 867-1474
Fax
(866) 748-5034
NPI assigned
Jun 5, 2008
Last updated
Mar 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Gail L King, PT, DPTNPI 1447211685
Title
Owner
Phone
(646) 867-1474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007485 NY Primary

Addresses

Primary practice location

1556 3Rd Ave Ste 604
New York, NY 10128-3161

Mailing address

444 E 84TH St Apt 2F
New York, NY 10028-6240
Phone (646) 867-1474

Other identifiers 1

IdentifierTypeStateIssuer
007485OtherNYLICENSE #

National Provider Directory

National Provider Directory

Locations

1556 3rd Ave
Ste 604
New York, NY 10128
Phone (646) 867-1474

Practitioners & affiliated clinicians

Practitioners 1

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1801055736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E 84TH ST APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286240",
            "telephone_number": "646-867-1474",
            "fax_number": "866-748-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 3RD AVE STE 604",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283161",
            "telephone_number": "646-867-1474",
            "fax_number": "866-748-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE PHYSICAL THERAPY AND PILATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-867-1474",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "007485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "007485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.