Body Physical Therapy and Fitness Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODY PHYSICAL THERAPY AND FITNESS INC

Practice address

7702 Balboa Blvd
Suite 6
Van Nuys, CA 91406-2244

Phone

(818) 789-6474

Fax

(818) 789-6467

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nicanor Lumbre Bobadilla INPI 1205886975

Title

President / Ceo

Phone

(818) 789-6474

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Nicanor Lumbre Bobadilla I

  • Physical Therapist
  • Burbank, CA
  • NPI 1205886975
  NPD (past) Authorized official
• Geoffrey Michael Kandes, D.P.T.

  • Orthopedic Physical Therapist
  • San Diego, CA
  • NPI 1205833001
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1841241411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 BALBOA BLVD",
            "address_2": "SUITE 6",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062244",
            "telephone_number": "818-789-6474",
            "fax_number": "818-789-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 BALBOA BLVD",
            "address_2": "SUITE 6",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062244",
            "telephone_number": "818-789-6474",
            "fax_number": "818-789-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY PHYSICAL THERAPY AND FITNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "BOBADILLA",
        "authorized_official_first_name": "NICANOR",
        "authorized_official_middle_name": "LUMBRE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "818-789-6474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65116Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allison Blumenthal, D.O.
• Brian Gerrit Bodt
• Kelly Bogaard, BCBA
• Hans Keenan Boggs, M.D.
• Nubar Boghossian, M.D.
• Trinaya Krishnan Bokam
• Heather Bolewski

• Physical Therapist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Physical Therapist in California

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