Bodysoul Community Wellness and Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODYSOUL COMMUNITY WELLNESS AND PHYSICAL THERAPY, INC.

Practice address

3761 High St # 61-06
Oakland, CA 94619-2124

Phone

(323) 217-4552

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Teoma L Loeb, PT, DPT

Title

Owner

Phone

(323) 217-4552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1992383467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 HIGH ST # 61-06",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192124",
            "telephone_number": "323-217-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 HIGH ST # 61-06",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192124",
            "telephone_number": "323-217-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYSOUL COMMUNITY WELLNESS AND PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LOEB",
        "authorized_official_first_name": "TEOMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-217-4552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhya Bodapati
• Shannon Erika Marie Bode, B.A.
• Ethan Emmet Bodle, M.D., M.P.H
• Jennifer S. Bodnick, MD
• Bodyful Physical Therapy and Wellness
• Lucas V Boe
• Julia Goldman Boekelheide
• Therese L Bogan, MFT
• Julie Bogdanski, L.AC.
• Edna Jeannene Bohannon, PH.D., MFT

• Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.