Body Resolution LLC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

104.0113349 Issued in VT

Legal business name

BODY RESOLUTION LLC

Practice address

2069 Williston Rd Ste 2
South Burlington, VT 05403-6018

Phone

(802) 658-5800

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

James Daniel Henley, CSCS, CPT, CES, PES

Title

Owner

Phone

(802) 598-8334

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1861876591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 WILLISTON RD STE 2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036018",
            "telephone_number": "802-658-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 WILLISTON RD STE 2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036018",
            "telephone_number": "802-658-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY RESOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-598-8334",
        "authorized_official_credential": "CSCS, CPT, CES, PES"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104.0113349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "104.0113349",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Blankstein, MD, FRCSC
• Jeffrey Joseph Blasius, DMD MDS MPH
• Bloom Physical Therapy LLC
• Jonathan A Bloom, D.D.S.
• Victor Boardman
• Paul Gregory Boerman, DDS
• Brittany Bogan, DOCTOR OF PHARMACY
• Shawn Bohac
• Allyson M Bolduc, M.D.
• Wendy Pinder Bombard

• Athletic Trainer in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Athletic Trainer in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.