Bodywise Physical Therapy Professional LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

BODYWISE PHYSICAL THERAPY PROFESSIONAL LLC

Practice address

4440 Arapahoe Ave Ste 101
Boulder, CO 80303

Phone

(303) 444-2529

Fax

(303) 444-2563

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Julie Petersen-Hanson, PTNPI 1588992903

Title

Owner

Phone

(303) 444-2529

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Petersen-Hanson, PT

  • Orthopedic Physical Therapist
  • Boulder, CO
  • NPI 1588992903
  Medicare reassignment Care Compare group NPD Authorized official
• Amie Kathrine Russell, PT, DPT, ATC

  • Physical Therapist
  • Loveland, CO
  • NPI 1316266406
  Medicare reassignment Care Compare group NPD
• Rayann L Greer, DPT

  • Orthopedic Physical Therapist
  • Westminster, CO
  • NPI 1710179338
  Medicare reassignment Care Compare group
• Cathy McDuff

  • Physical Therapy Assistant
  • Wheat Ridge, CO
  • NPI 1861571523
  NPD (past)
• Christine Anne Schneider - Little, DPT

  • Physical Therapist
  • Boulder, CO
  • NPI 1487602223
  NPD (past)
• Michelle Pearl Fitzgerald, P.T

  • Physical Therapist
  • Weston, FL
  • NPI 1740239177
  NPD (past)

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1881836716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 ARAPAHOE AVE STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803039101",
            "telephone_number": "303-444-2529",
            "fax_number": "303-444-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 ARAPAHOE AVE STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "303-444-2529",
            "fax_number": "303-444-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 W 144th Ave Unit 104",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800239483",
            "country_code": "US",
            "telephone_number": "303-444-2529",
            "fax_number": "303-444-2563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10155 Westmoor Dr Ste 185",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800212601",
            "country_code": "US",
            "telephone_number": "303-444-2529",
            "fax_number": "303-444-2563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODYWISE PHYSICAL THERAPY PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "PETERSEN-HANSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-444-2529",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bodhi Infusion Center, LLC
• Laura Bodmer, LMSW
• Ann M Bodnar, M.A.
• Body and Balance Chiropractic
• Body Dynamics, Inc.
• Ellen Maureen Boeder, M.A., LPC
• Tami Joan Boehle-Satterfield, LCSW-C
• Vanessa Kay Boehm
• Annamaria Bracy Boehms, M. A.
• Jennifer Nichole Boensch, M.A.

• Orthopedic Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.