Active NPI
Bodyworks Physical Therapy Orthopedic and Sports Rehab
- Physical Medicine & Rehabilitation Physician
- Klamath Falls, OR
National Provider Identifier
1992353668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BODYWORKS PHYSICAL THERAPY ORTHOPEDIC AND SPORTS REHAB
- Practice address
- 3051 South 6TH Street
Klamath Falls, OR 97603-4609 - Phone
- (541) 884-1865
- Fax
- (541) 884-1455
- NPI assigned
- Aug 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. George Eric Mills, P.T.
- Title
- Owner/Physical Therapist
- Phone
- (541) 884-1865
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
3051 South 6TH Street
Klamath Falls, OR 97603-4609
Mailing address
3051 South 6TH Street
Klamath Falls, OR 97603-4609
Phone (541) 884-1865
Other names 1
- BodyWorks Physical Therapy Orthopedic & Sports Rehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3051 S 6th St
Klamath Falls, OR 97603
Phone (541) 884-1865
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Klamath Falls, OR
- NPI 1952462731
-
- Physical Therapist
- Klamath Falls, OR
- NPI 1710595806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574294400000",
"number": "1992353668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 SOUTH 6TH STREET",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976034609",
"telephone_number": "541-884-1865",
"fax_number": "541-884-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 SOUTH 6TH STREET",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976034609",
"telephone_number": "541-884-1865",
"fax_number": "541-884-1455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODYWORKS PHYSICAL THERAPY ORTHOPEDIC AND SPORTS REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-27",
"last_updated": "2019-11-21",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "541-884-1865",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BodyWorks Physical Therapy Orthopedic & Sports Rehab",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BodyWorks Physical Therapy Orthopedic & Sports Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.