Organization Active NPI

Bodyworks PT, LLC

  • Physical Therapy Clinic/Center
  • Lubbock, TX
National Provider Identifier
1831257393
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BODYWORKS PT, LLC
Practice address
5921 34TH St
Lubbock, TX 79407-3207
Phone
(806) 748-6407
Fax
(806) 687-2806
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mr. Levi Wade Stephenson
Title
Manager
Phone
(806) 748-6407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X TX Primary

Addresses

Primary practice location

5921 34TH St
Lubbock, TX 79407-3207

Mailing address

5921 34TH St
Lubbock, TX 79407-3207
Phone (806) 748-6407

Other identifiers 1

IdentifierTypeStateIssuer
1831257393OtherTXNPI#

National Provider Directory

National Provider Directory

Locations

5921 34th St
Lubbock, TX 79407
Phone (806) 748-6407

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1831257393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073207",
            "telephone_number": "806-748-6407",
            "fax_number": "806-687-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073207",
            "telephone_number": "806-748-6407",
            "fax_number": "806-687-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKS PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "LEVI",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-748-6407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1831257393",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.