Body Mechanix Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODY MECHANIX PHYSICAL THERAPY INC

Practice address

1922 Erringer Rd
Simi Valley, CA 93065-3525

Phone

(805) 584-0001

Fax

(805) 527-9135

NPI assigned

May 20, 2006

Last updated

Aug 11, 2025By 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

Mr. Blake Carney, PTNPI 1730673112

Title

Treasurer and Secretary

Phone

(805) 584-0001

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 8

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.

• Blake Carney, PT

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1730673112
  Medicare reassignment Care Compare group NPD Authorized official
• Taylor N Carney

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1194205286
  Medicare reassignment Care Compare group NPD
• Erik Thorvald Iversen, MPT

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1093762486
  Medicare reassignment Care Compare group NPD
• Andrew Scott Macdonald, D.P.T.

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1285681676
  Medicare reassignment Care Compare group NPD
• Mark Mako, P.T., O.C.S.

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1013961275
  Medicare reassignment Care Compare group NPD
• Chad Sticher

  • Orthopedic Physical Therapist
  • Simi Valley, CA
  • NPI 1700422623
  NPD
• Lilia Matevosyan

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1023927340
  NPD (past)
• Jeff Nicholl, PT

  • Physical Therapist
  • Camarillo, CA
  • NPI 1437128931
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1831143031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 ERRINGER RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653525",
            "telephone_number": "805-584-0001",
            "fax_number": "805-527-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 ERRINGER RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653525",
            "telephone_number": "805-584-0001",
            "fax_number": "805-527-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MECHANIX PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "TREASURER AND SECRETARY",
        "authorized_official_telephone_number": "805-584-0001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ01345Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U. S. DEPARTMENT OF LABOR",
            "identifier": "377655700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Blake, MS, RD
• Kelly Bleckley, M.A., CCC-SLP
• Stephanie Marie Blough, PT
• BLS CPR & First Aid Outreach
• Blueray Home Health, Inc.
• Lloyd E. Boland III, D.C.
• Natalie Anne Bologna, LMFT
• Kathryn Bonilla Strickland, RDN
• Jonaseth Booker
• Boon Transport Services

• Physical Therapist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.