Organization Active NPI

Body Logic Alternative Therapies, Inc.

  • Massage Therapist
  • Saint Joseph, MI
National Provider Identifier
1902929334
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BODY LOGIC ALTERNATIVE THERAPIES, INC.
Practice address
1515 Niles Ave
Saint Joseph, MI 49085-1585
Phone
(269) 983-7858
Fax
(269) 983-8986
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Mrs. Maria Teresa Neville-Smith, CMT
Title
Owner-President
Phone
(269) 983-7858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1515 Niles Ave
Saint Joseph, MI 49085-1585

Mailing address

1515 Niles Ave
Saint Joseph, MI 49085-1585
Phone (269) 983-7858

Other names 1

  • Body Logic Other name

National Provider Directory

National Provider Directory

Locations

1515 Niles Ave
Saint Joseph, MI 49085
Phone (269) 983-6541

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1902929334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NILES AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851585",
            "telephone_number": "269-983-7858",
            "fax_number": "269-983-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NILES AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851585",
            "telephone_number": "269-983-7858",
            "fax_number": "269-983-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY LOGIC ALTERNATIVE THERAPIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "NEVILLE-SMITH",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "269-983-7858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Logic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.