NPIMap

Organization Active NPI

K.O. Bodyworks

  • Clinic/Center
  • Stoughton, WI
National Provider Identifier
1881379840
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
K.O. BODYWORKS
Practice address
801 N Page St
Stoughton, WI 53589-1309
Phone
(734) 674-5823
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Jennifer Keupper Oneil, LMTNPI 1225714520
Title
Owner
Phone
(734) 674-5823

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

801 N Page St
Stoughton, WI 53589-1309

Mailing address

1792 Williams Dr
Stoughton, WI 53589-3342

National Provider Directory

National Provider Directory

Locations

801 N Page St
Stoughton, WI 53589
Phone (734) 674-5823

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": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1881379840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 WILLIAMS DR",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535893342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N PAGE ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891309",
            "telephone_number": "734-674-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.O. BODYWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A",
        "authorized_official_last_name": "KEUPPER ONEIL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-674-5823",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.