William Kentopp and John J Bodine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1328 Issued in AZ

Legal business name

WILLIAM KENTOPP AND JOHN J BODINE

Doing business as

Succeed Physical Therapy & Wellness

Practice address

1930 S Alma School Rd
Suite a-100
Mesa, AZ 85210-3064

Phone

(480) 387-5429

NPI assigned

Oct 30, 2014

Last updated

Jan 15, 2015By 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

Jim Bodine, PT, OCS

Title

Pres/Owner

Phone

(480) 387-5429

Specialties & licenses 1

Addresses

Other names 1

• Succeed Physical Therapy & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

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.

• William Brian Kentopp, PT,DPT, OCS

  • Orthopedic Physical Therapist
  • Mesa, AZ
  • NPI 1982614376
  Medicare reassignment Care Compare group NPD
• Travis Kent Rohner, PT,DPT

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1528158037
  Medicare reassignment Care Compare group NPD
• John James Bodine, PT, OCS

  • Orthopedic Physical Therapist
  • Mesa, AZ
  • NPI 1912910522
  Medicare reassignment Care Compare group
• Jeffrey Brandon Sells, PT, DPT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1891160156
  Medicare reassignment NPD
• Sean Covert, PTA

  • Physical Therapy Assistant
  • Mesa, AZ
  • NPI 1710797139
  NPD

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1952706038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD",
            "address_2": "SUITE A-100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103064",
            "telephone_number": "480-387-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD",
            "address_2": "SUITE A-100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103064",
            "telephone_number": "480-387-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM KENTOPP AND JOHN J BODINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BODINE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "480-387-5429",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Succeed Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larisa Willden, FNP-C
• Susan Willever, N.P.
• Jennyfer Nayeli Willford, NP
• Mihrage Anne Willhauck, NMD
• William E. Deyden, M.D, P.C
• William Wagner MD PC
• Patricia Williams-Shelman, RBT
• Aaron Landon Williams, MC, LPC, BHP
• Ana Williams, NP
• Andrew Robert Williams, MD

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.