Body and Wellness Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013544 Issued in IL

Legal business name

BODY AND WELLNESS PHYSICAL THERAPY, LLC

Practice address

2500 Ridge Ave Ste 309
Evanston, IL 60201-2477

Phone

(312) 961-9490

NPI assigned

Apr 1, 2010

Organization subpart

No

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

Authorized official

Name

Rebecca Landis, PT

Title

DPT

Phone

(312) 961-9490

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rebecca Ann Landis, PT

  • Physical Therapist
  • Evanston, IL
  • NPI 1487873048
  NPD (past)

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1811212988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 W FULLERTON AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148159",
            "telephone_number": "312-961-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE STE 309",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012477",
            "telephone_number": "312-961-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY AND WELLNESS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "312-961-9490",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Boatright
• Bobby Buonauro Clinic
• Bobis Denterprises, Inc.
• Maria Cecilia Bocanegra, LCPC
• Kristin Anne Bock, RN, CRNA
• Lynn Boecler, PHARM.D.
• Robbie D. Bogard, LCSW
• Nicole Elizabeth Bogdanovich, M.D.
• Kathleen A. Bogie, LCSW
• Bettina Ute Bohle-Frankel, M.D.

• Physical Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.