Body Physical Therapy Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

BODY PHYSICAL THERAPY INC.

Practice address

822 S Robertson Blvd Ste 101
Los Angeles, CA 90035-1633

Phone

(310) 405-1945

Fax

(424) 335-0030

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Jordan Guy Clayborne, PTNPI 1962952333

Title

Owner

Phone

(310) 405-1945

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Jordan Clayborne, PT

  • Sports Physical Therapist
  • Lauderdale by the Sea, FL
  • NPI 1962952333

  CA

  Medicare reassignment Care Compare group NPD Authorized official
• Joven Caleb Gozo, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1861230294
  Medicare reassignment Care Compare group NPD
• Jason Banh Duong

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1265280481

  Single Specialty

  Medicare reassignment NPD
• Eric Christopher Lee, DPT

  • Sports Physical Therapist
  • Los Angeles, CA
  • NPI 1619548179
  Medicare reassignment NPD

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1912593237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351633",
            "telephone_number": "310-405-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351633",
            "telephone_number": "310-405-1945",
            "fax_number": "424-335-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "CLAYBORNE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-405-1945",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962952333",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harrison Bodrie, LCSW
• Body Boxing Bootcamp
• Body Diagnostic Imaging
• Body Harmony Physical Therapy
• Body in Motion Therapy, P.C
• Body Rehab Center
• Bodysync Physical Therapy P.C.
• Maria Ines Boechat, MD
• Isabella Boedefeld
• Aryani Boedisantoso

• Orthopedic Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.