Organization Active NPI

Jan Salge'S Better Bodies Physical Therapy, Inc.

  • Physical Therapist
  • Rockledge, FL
National Provider Identifier
1861477341
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JAN SALGE'S BETTER BODIES PHYSICAL THERAPY, INC.
Doing business as
Better Bodies Physical Therapy, Inc.
Practice address
197 Bougainvillea Dr Ste C
Rockledge, FL 32955-2402
Phone
(321) 633-9718
Fax
(321) 633-9908
NPI assigned
Dec 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Authorized official

Name
Maribeth S Salge, MA, PT, ATC, CSCSNPI 1811043896
Title
President
Phone
(321) 633-9718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

197 Bougainvillea Dr Ste C
Rockledge, FL 32955-2402

Mailing address

197 Bougainvillea Dr Ste C
Rockledge, FL 32955-2402
Phone (321) 633-9718

Other identifiers 3

IdentifierTypeStateIssuer
7824525OtherFLAETNA PPO
3430666OtherFLAETNA HMO
Y903POtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Better Bodies Physical Therapy, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000210 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830182120 Receives reassigned benefits from 2 practitioners
Practice locations: Rockledge, FL

National Provider Directory

National Provider Directory

Locations

197 Bouganvillea Dr
Ste C
Rockledge, FL 32955
Phone (321) 633-9718

597 Haverty Ct
Ste 70
Rockledge, FL 32955
Phone (321) 633-9718

Practitioners & affiliated clinicians

Practitioners 3

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": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1861477341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 BOUGAINVILLEA DR STE C",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552402",
            "telephone_number": "321-633-9718",
            "fax_number": "321-633-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 BOUGAINVILLEA DR STE C",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552402",
            "telephone_number": "321-633-9718",
            "fax_number": "321-633-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN SALGE'S BETTER BODIES PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "SALGE",
        "authorized_official_first_name": "MARIBETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-633-9718",
        "authorized_official_credential": "MA, PT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7824525",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3430666",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y903P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Bodies Physical Therapy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.