Body Shop Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BODY SHOP PHYSICAL THERAPY

Practice address

450 Chauncy St
Mansfield, MA 02048-1198

Phone

(412) 956-6966

Fax

(508) 804-7175

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Benjamin George Miller, PT

Title

Owner, Physical Therapist

Phone

(412) 956-6966

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Wendy Beyer Cohen, MD

  • Family Medicine Physician
  • Mansfield, MA
  • NPI 1568575900
  NPD
• Marguerite Garofalo, M.D.

  • Family Medicine Physician
  • Mansfield, MA
  • NPI 1972606945
  NPD

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1952974198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 SPRINGDALE AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027034340",
            "telephone_number": "412-956-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CHAUNCY ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481198",
            "telephone_number": "412-956-6966",
            "fax_number": "508-804-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SHOP PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "412-956-6966",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Bioc, PHARMD
• Jennifer Leigh Blood, NP
• Bloom Into Wellness LLC
• Tobi E. Bloomwald, LICSW
• Roshalene Mary Bodden
• Boston Audiology Consultants, Inc
• Heather Ann Boulger
• Paula Marie Boylan, OTR/L
• Allison Faith Boyland, OTR
• Laura C Bracey

• Physical Therapy Clinic/Center in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.