Organization Active NPI

Bodyworks Physical Therapy Orthopedic and Sports Rehab

  • Physical Medicine & Rehabilitation Physician
  • Klamath Falls, OR
National Provider Identifier
1992353668
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Nov 21, 2019

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.NPI 1952462731
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108002045 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971938598 Receives reassigned benefits from 1 practitioner
Practice locations: Klamath Falls, OR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.