NPIMap

Organization Active NPI

Bodyworks Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Bloomington, MN
National Provider Identifier
1992923023
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4415 Issued in MN
Legal business name
BODYWORKS PHYSICAL THERAPY INC
Practice address
8120 Penn Avenue South
Suite 480
Bloomington, MN 55431
Phone
(952) 929-7000
Fax
(952) 929-2200
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Keith Joseph Sullivan, PTNPI 1811957889
Title
Owner
Phone
(952) 929-7000

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 Therapy Clinic/Center 261QP2000X 4415 MN Primary

Addresses

Primary practice location

8120 Penn Avenue South
Suite 480
Bloomington, MN 55431

Mailing address

8120 Penn Avenue South
Suite 480
Bloomington, MN 55431
Phone (952) 929-7000

Other names 1

  • BodyWorks Physical Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

8120 Penn Ave S
Ste 480
Bloomington, MN 55431
Phone (952) 929-7000

Practitioners & affiliated clinicians

Practitioners 5

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1992923023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 PENN AVENUE SOUTH",
            "address_2": "SUITE 480",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55431",
            "telephone_number": "952-929-7000",
            "fax_number": "952-929-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 PENN AVENUE SOUTH",
            "address_2": "SUITE 480",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55431",
            "telephone_number": "952-929-7000",
            "fax_number": "952-929-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-929-7000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "4415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyWorks Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.