BODYWISE STUDIOS, INC. (NPI# 1023106127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023106127 |
| Entity Type | Organization |
| Organization Name | BODYWISE STUDIOS, INC. |
| Practice Address |
2706 Old Moultrie Rd St Augustine FL 32086-5447 |
| Mailing Address |
Po Box 5538 St Augustine FL 32085-5538 |
| Practice Telephone | 9047946760 |
| Mailing Telephone | 9047946760 |
| Mailing Fax Number | 9047946760 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | MS. SUSAN POLAND HUFFMAN (PRESIDENT) |
| Authorized Official Telephone | 9047946760 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT 12766 | FL | Ambulatory Health Care Facilities |
| Street Address |
2706 OLD MOULTRIE RD |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073522488 | Cornelia Korey | Massage Therapist | 2706 Old Moultrie Rd, St Augustine, FL 32086-5447 | 2006-08-05 |
| 1619264710 | Valerie Deville, Lmhc | Counselor | 2706 Old Moultrie Rd, St Augustine, FL 32086-5447 | 2011-07-09 |
| 1346338464 | Susan Poland Huffman | Physical Therapist | 2706 Old Moultrie Rd, St Augustine, FL 32086-5447 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518470293 | Remedy Physiorooms LLC | Clinic/Center | 55 Medio Dr, St Augustine, FL 32095-6718 | 2017-11-16 |
| 1215215157 | Patricia A Taruski Pt Pa | Clinic/Center | 855 S Holmes Blvd, St Augustine, FL 32084-8347 | 2011-07-26 |
| 1811143282 | P3t LLC | Clinic/Center | 121 Orchis Rd, St Augustine, FL 32086-6521 | 2008-08-17 |
| 1871981308 | Pain Solutions & Physical Therapy, Inc. | Clinic/Center | 100 Whetstone Pl, Suite 208, St Augustine, FL 32086-5774 | 2015-01-06 |
| 1952625162 | Physical Intelligence St. Augustine | Clinic/Center | 180 Marine St, St Augustine, FL 32084-5153 | 2010-03-16 |
| 1457485344 | Genesis Bodywork LLC | Clinic/Center | 4075 A1a S, Suite 105, St Augustine, FL 32080-6773 | 2007-03-15 |
| 1003823709 | First Coast Physical Therapy Inc | Clinic/Center | 252 Southpark Cir E, St Augustine, FL 32086-5137 | 2006-08-02 |
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| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.