Body Healing Therapeutic Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1268 Issued in MA

Legal business name

BODY HEALING THERAPEUTIC INC

Practice address

567 Pleasant St Ste 11
Brockton, MA 02301-2507

Phone

(508) 559-1577

Fax

(508) 559-5144

NPI assigned

Mar 4, 2013

Last updated

Mar 4, 2013By 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

Solange F Lopes

Title

President

Phone

(508) 559-1577

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1841531696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 PLEASANT ST STE 11",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012507",
            "telephone_number": "508-559-1577",
            "fax_number": "508-559-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 PLEASANT ST STE 11",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012507",
            "telephone_number": "508-559-1577",
            "fax_number": "508-559-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY HEALING THERAPEUTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "LOPES",
        "authorized_official_first_name": "SOLANGE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-559-1577"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "1268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12497292",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Paul Boardman, KINESIOTHERAPIST
• Rebekah Michelle Boateng
• Mark Dewald Bobbin, M.D.
• Srinivas Bodapati, MD
• Lynne D Boddie
• Daniel John Boen
• Carolyn B Bogal, NP
• Murali Krishna Bogavalli
• Jennifer Michelle Marram Bognanno, LICSW
• Daniel Leroy Bohl, MD

• Massage Therapist in Brockton, MA
• Providers in Brockton, MA by specialty
• Massage Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.