NPIMap

Organization Active NPI

Body Dojo LLC

  • Health Service Clinic/Center
  • Irwin, PA
National Provider Identifier
1982419461
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BODY DOJO LLC
Practice address
8958 Hill Dr
Irwin, PA 15642-3112
Phone
(724) 755-3020
NPI assigned
Feb 11, 2025
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Corey Deasy
Title
Founding Partner
Phone
(412) 722-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

8958 Hill Dr
Irwin, PA 15642-3112

Mailing address

1059 Giulia Dr
Irwin, PA 15642-4187
Phone (412) 722-3618

National Provider Directory

National Provider Directory

Locations

8958 Hill Dr
Irwin, PA 15642
Phone (724) 755-3020

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1982419461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 GIULIA DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156424187",
            "telephone_number": "412-722-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8958 HILL DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423112",
            "telephone_number": "724-755-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY DOJO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "DEASY",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "FOUNDING PARTNER",
        "authorized_official_telephone_number": "412-722-3618"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.