NPIMap

Organization Active NPI

Bodyworkspt, Inc.

  • Physical Therapist
  • Yorba Linda, CA
National Provider Identifier
1932261351
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BODYWORKSPT, INC.
Practice address
5122 Casa Loma Ave
Yorba Linda, CA 92886-3943
Phone
(714) 724-2575
Fax
(714) 993-9878
NPI assigned
Dec 14, 2006
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Christine Dragoo Baranick, PT, DPT, OCSNPI 1922081710
Title
Owner, President
Phone
(714) 724-2575

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
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

5122 Casa Loma Ave
Yorba Linda, CA 92886-3943

Mailing address

5122 Casa Loma Ave
Yorba Linda, CA 92886-3943
Phone (714) 724-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061219000604 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698774693 Receives reassigned benefits from 2 practitioners
Practice locations: Yorba Linda, CA

National Provider Directory

National Provider Directory
Tax ID family
Bodyworkspt Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1932261351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 CASA LOMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863943",
            "telephone_number": "714-724-2575",
            "fax_number": "714-993-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 CASA LOMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863943",
            "telephone_number": "714-724-2575",
            "fax_number": "714-993-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKSPT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "BARANICK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "DRAGOO",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "714-724-2575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.