Bodyworks Prosthetics and Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BODYWORKS PROSTHETICS AND ORTHOTICS LLC

Practice address

720 Lindsay LN Ste B2
Cody, WY 82414-4143

Phone

(307) 578-8820

Fax

(307) 578-8828

NPI assigned

Nov 14, 2018

Last updated

Dec 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy David Livingston, CO, BOCPNPI 1033363973

Title

Owner/Practitioner

Phone

(307) 578-8820

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy David Livingston, CO, BOCP

  • Orthotist
  • Cody, WY
  • NPI 1033363973
  NPD Authorized official

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1912476334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LINDSAY LN STE B2",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144143",
            "telephone_number": "307-578-8820",
            "fax_number": "307-578-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LINDSAY LN STE B2",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144143",
            "telephone_number": "307-578-8820",
            "fax_number": "307-578-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKS PROSTHETICS AND ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "307-578-8820",
        "authorized_official_credential": "CO, BOCP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billings Otolaryngology PC
• Sean Robert Binkley
• Steven A. Bischoff
• Kori Kae Black, MS,ME,PPC
• Krista Lee Blough, A.P.R.N.
• Patricia A Bohmer, MS-CCC
• Kirk A Bollinger, MD
• Karen S Bond, M.A.
• Dwayne Steven Borgstrand, D.C., L.AC.
• Katie Bost

• Prosthetic/Orthotic Supplier in Cody, WY
• Providers in Cody, WY by specialty
• Prosthetic/Orthotic Supplier in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.