Organization Active NPI

Body Logic Integrative Physical Therapy

  • Physical Therapist
  • Woodfin, NC
National Provider Identifier
1942743646
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BODY LOGIC INTEGRATIVE PHYSICAL THERAPY
Practice address
2 Weaverville Rd Ste 101
Woodfin, NC 28804-1388
Phone
(828) 424-9290
Fax
(828) 417-7103
NPI assigned
Nov 29, 2016
Last updated
Dec 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Phillip D. Rolfe, PT, DPT, ATCNPI 1568564623
Title
Owner
Phone
(828) 424-9290

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

2 Weaverville Rd Ste 101
Woodfin, NC 28804-1388

Mailing address

PO Box 18801
Asheville, NC 28814-0801
Phone (828) 424-9290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170626001987 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597033084 Receives reassigned benefits from 1 practitioner
Practice locations: Weaverville, NC

National Provider Directory

National Provider Directory

Locations

108 Monticello Rd
Ste 300
Weaverville, NC 28787
Phone (828) 424-9290

2 Weaverville Rd
Ste 101
Woodfin, NC 28804
Phone (828) 424-9290

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1942743646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18801",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288140801",
            "telephone_number": "828-424-9290",
            "fax_number": "828-417-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WEAVERVILLE RD STE 101",
            "city": "WOODFIN",
            "state": "NC",
            "postal_code": "288041388",
            "telephone_number": "828-424-9290",
            "fax_number": "828-417-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY LOGIC INTEGRATIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "ROLFE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-424-9290",
        "authorized_official_credential": "PT, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodfin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.