Organization Active NPI

The Body El Cuerpo Physical Therapy LLC.

  • Physical Therapist
  • Clyde, NC
National Provider Identifier
1881362770
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE BODY EL CUERPO PHYSICAL THERAPY LLC.
Practice address
1630 Old Clyde Rd
Clyde, NC 28721-8591
Phone
(828) 565-0286
Fax
(833) 488-1895
NPI assigned
Sep 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Dr. Mary Goforth, PT, DPTNPI 1902281140
Title
Owner of Entity
Phone
(828) 799-0603

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

1630 Old Clyde Rd
Clyde, NC 28721-8591

Mailing address

6 Mountain Ter
Asheville, NC 28806-1906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118000309 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214326966 Receives reassigned benefits from 1 practitioner
Practice locations: Clyde, NC

National Provider Directory

National Provider Directory

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": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1881362770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MOUNTAIN TER",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 OLD CLYDE RD",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218591",
            "telephone_number": "828-565-0286",
            "fax_number": "833-488-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODY EL CUERPO PHYSICAL THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "GOFORTH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "828-799-0603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.