Body Evolve LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODY EVOLVE LLC

Practice address

600 Central Ave
Suite 305
Highland Park, IL 60035-3211

Phone

(847) 926-8490

Fax

(847) 926-8492

NPI assigned

Apr 14, 2009

Last updated

Apr 14, 2009By 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

Sharon Gawin, PT

Title

Owner/Physical Therapist

Phone

(847) 926-8490

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, and the practitioner matching its NPPES authorized official.

• Susan Koch, PT

  • Physical Therapist
  • Highland Park, IL
  • NPI 1629211164
  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1821231358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE",
            "address_2": "SUITE 305",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353211",
            "telephone_number": "847-926-8490",
            "fax_number": "847-926-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE",
            "address_2": "SUITE 305",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353211",
            "telephone_number": "847-926-8490",
            "fax_number": "847-926-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY EVOLVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "GAWIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "847-926-8490",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bloom
• Debbie Lynn Bloom, RPH
• Richard A. Bloom, M.D.
• Kimberly Bloomcamp, APN-CNM
• Lisa P Blumberg, MSW, LSW
• Marcia Bogolub
• Carlos M Boileve, DC
• Brian Bonamarte
• Simone Bonde, CNM
• Sneha Bontu, MD

• Physical Therapist in Highland Park, IL
• Providers in Highland Park, 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 14, 2009; 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.