Bodytherapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODYTHERAPY, INC.

Practice address

805 N 4TH St
Wilmington, NC 28401-3471

Phone

(315) 292-8976

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Ryan GodfreyNPI 1831468578

Title

Owner/Physical Therapist

Phone

(315) 292-8976

Specialties & licenses 1

Addresses

Other names 1

• Change The Game Performance Therapy Doing business as

Locations

Practitioners 1

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

• Ryan Godfrey, PT, DPT

  • Physical Therapist
  • Wilmington, NC
  • NPI 1831468578
  NPD (past) Authorized official

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1992266753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 OLD FOREST DR NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517671",
            "telephone_number": "315-292-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N 4TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013471",
            "telephone_number": "315-292-8976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Belville",
            "state": "NC",
            "postal_code": "284511857",
            "country_code": "US",
            "telephone_number": "315-292-8976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODYTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "315-292-8976"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Change The Game Performance Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Boris Blyther, LCSW
• Nolan Bodah, D.D.S.
• John Herman Bode, P.A.
• Body Innovations Physical Therapy & Wellness LLC
• Bodytech Acupuncture
• Deborah Hankins Boedeker, FNP-BC
• Thomas Whiteford Boeker, MD
• Teresa Singletary Boggs, HIS #1198
• Janet Carol Bogus, F-AAA
• Amanda Kay Boitnott, WHNP

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.