BODYWORKS PHYSICAL THERAPY INC (NPI# 1992923023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992923023 |
| Entity Type | Organization |
| Organization Name | BODYWORKS PHYSICAL THERAPY INC |
| Other Organization Name | BODYWORKS PHYSICAL THERAPY |
| Practice Address |
8120 Penn Avenue South Suite 480 Bloomington MN 55431 |
| Practice Telephone | 9529297000 |
| Practice Fax Number | 9529292200 |
| Mailing Telephone | 9529297000 |
| Mailing Fax Number | 9529292200 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-02-04 |
| Authorized Official Name | KEITH JOSEPH SULLIVAN (OWNER) |
| Authorized Official Telephone | 9529297000 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
4415 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BodyWorks Physical Therapy | Former Legal Business Name - Organization |
| Street Address |
8120 PENN AVENUE SOUTH SUITE 480 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831158013 | Jeanne Schneyer Spadaccini | Physical Therapist | 8120 Penn Avenue South, Suite 480, Bloomington, MN 55431 | 2006-03-17 |
| 1861567877 | Elaine Janice Ito | Physical Therapist | 8120 Penn Avenue South, Suite 480, Bloomington, MN 55431 | 2006-11-22 |
| 1083785034 | Daniel James Zahn | Physical Therapist | 8120 Penn Avenue South, Suite 480, Bloomington, MN 55431 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962987255 | Ptworx LLC | Clinic/Center | 5006 S Rogers St, Bloomington, IN 47403-4655 | 2018-10-02 |
| 1013030352 | Physiotherapy Associates Inc | Clinic/Center | 1355 W Bloomfield Rd Ste B, Bloomington, IN 47403-2052 | 2007-04-10 |
| 1518049337 | Illinois Physical Therapy Associates Limited Partnership | Clinic/Center | 3609 General Electric Rd, Suite B, Bloomington, IL 61704-8534 | 2006-10-20 |
| 1720549892 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 2455 N Tamarack Trl, Bloomington, IN 47408-1294 | 2019-03-29 |
| 1487164869 | Vitalrehab Physical Therapy, LLC | Clinic/Center | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2017-10-11 |
| 1316473325 | Embody Boss LLC | Clinic/Center | 128 E 6th St, Bloomington, IN 47408-3311 | 2017-05-11 |
| 1639565971 | Champion Fitness, Inc | Clinic/Center | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2015-04-14 |
| 1700279007 | Delong Wellness, LLC | Clinic/Center | 218 N Rogers St, Bloomington, IN 47404-3969 | 2015-03-11 |
| 1104236165 | Heritage Enterprises, Inc | Clinic/Center | 700 E Walnut St, Bloomington, IL 61701-3244 | 2014-04-30 |
| 1861810228 | Rally Physical Therapy LLC | Clinic/Center | 19165 Meander Way, Bloomington, IL 61705-5227 | 2014-04-02 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
Please comment or provide details below to improve the information on BODYWORKS PHYSICAL THERAPY INC.
| 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.