BODYMAX PHYSICAL THERAPY, INC. (NPI# 1154396091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154396091 |
| Entity Type | Organization |
| Organization Name | BODYMAX PHYSICAL THERAPY, INC. |
| Practice Address |
4165 Blackhawk Plaza Cir #275 Danville CA 94506-4904 |
| Mailing Address |
6668 Owens Dr Pleasanton CA 94588-3334 |
| Practice Telephone | 9257361305 |
| Practice Fax Number | 9257367685 |
| Mailing Telephone | 9256212200 |
| Mailing Fax Number | 9256212201 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | MR. CRAIG A. AMACK (OWNER) |
| Authorized Official Telephone | 9256212200 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT12859 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306961305 | Bodymax Physical Therapy, Inc. | Physical Therapist | 6668 Owens Dr, Pleasanton, CA 94588-3334 | 2007-03-20 |
| Street Address |
4165 BLACKHAWK PLAZA CIR #275 |
| City | DANVILLE |
| State | CA |
| Zip Code | 94506-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222058 | Courtney F Sepic | Nurse Practitioner | 4165 Blackhawk Plaza Cir, Suite 100, Danville, CA 94506-4904 | 2005-08-17 |
| 1336543792 | Melody Benzel | Physical Therapist | 4165 Blackhawk Plaza Cir, #275, Danville, CA 94506-4904 | 2014-10-14 |
| 1295094415 | John Muir Physician Network | Family Medicine | 4165 Blackhawk Plaza Cir, #265, Danville, CA 94506-4904 | 2012-05-08 |
| 1265709737 | Denise O'riordan | Pediatrics | 4165 Blackhawk Plaza Cir, Suite #100, Danville, CA 94506-4904 | 2011-11-28 |
| 1760718019 | Complete Chiropractic Healthcare | Chiropractor | 4165 Blackhawk Plaza Cir, Suite 250, Danville, CA 94506-4904 | 2009-10-21 |
| 1144483975 | Michael J Schierman Md A Professional Corporation | Family Medicine | 4165 Blackhawk Plaza Cir, Suite 265, Danville, CA 94506-4904 | 2008-07-02 |
| 1346445152 | Richard John Koeltl Jr. | Dentist | 4165 Blackhawk Plaza Cir, Suite 200, Danville, CA 94506-4904 | 2007-06-20 |
| 1861600082 | Julia Denniston | Registered Nurse | 4165 Blackhawk Plaza Cir, Danville, CA 94506-4904 | 2007-05-20 |
| 1497892640 | Chester Kim Cheng | Surgery | 4165 Blackhawk Plaza Cir, Suite 150, Danville, CA 94506-4904 | 2007-01-30 |
| 1427195676 | Brett Eric Stompro | Surgery | 4165 Blackhawk Plaza Cir, Suite 150, Danville, CA 94506-4904 | 2007-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680659 | Diane Lindsey Baggett | Registered Nurse | # 155 9000 Crow Canyon, Danville, CA 94506 | 2020-05-12 |
| 1205334364 | Sarika Shah | Dietitian, Registered | 3860 Blackhawk Road, Suite 140, Danville, CA 94506 | 2018-01-24 |
| 1679843783 | John W. Raniseski | Psychologist | 204 Stetson Drive, Danville, CA 94506 | 2012-01-05 |
| 1871728279 | Dana Libby Kapp | Dentist | 4135 Blackhawk Plaza Cir Ste 260, Danville, CA 94506 | 2009-05-28 |
| 1316123383 | Abnet Amsalework Alemu | Surgery | 2350 Country Hills Drive, Antioch, CA 94506 | 2008-01-21 |
| 1922105469 | Selin Khayatan | Optometrist | 2255 Genoa Street, Danville, CA 94506 | 2006-09-19 |
| 1497784169 | Donald I Galen | Obstetrics & Gynecology | 13 Homestead Court, Danville, CA 94506 | 2006-07-03 |
| 1144259870 | Blackhawk Surgery Center, A Medical Corp. | Clinic/Center | 3601 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-07-03 |
| 1629038351 | William Kemerer | Anesthesiology | 3600 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-03-25 |
| 1730730789 | Karen Marcum | Prosthetic/Orthotic Supplier | 4165 Blackhawk Plaza Circle, Private Suite 250, Danville, CA 94506 | 2019-09-21 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599232 | Katherine Lynn Brady | Physical Therapist | Pediatric Rehabilitation 100 North Academy Avenue, Danville, PA 17822-0001 | 2020-02-11 |
| 1588205967 | Pt Pros, Inc. | Physical Therapist | 2900 S Danville Byp Ste 110, Danville, KY 40422-2464 | 2019-10-07 |
| 1245798859 | Charles Louis Giolzetti | Physical Therapist | 53 San Gregorio Ct, Danville, CA 94526-1507 | 2019-03-04 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1548708571 | Summers Aquatic Therapy & Fitness | Physical Therapist | 36 Ambleside Ct, Danville, CA 94526-4303 | 2017-02-09 |
| 1578005716 | Matthew Brent Williams | Physical Therapist | 321 S 3rd St Ste B, Danville, KY 40422-2090 | 2016-11-04 |
| 1225588114 | Stacie Anne Wong | Physical Therapist | 120 Benjamin Ln, Danville, CA 94506-4777 | 2016-10-04 |
| 1104276120 | Shasta Ketchamconnelly | Physical Therapist | 508 S 1st Ave, Danville, IA 52623-9609 | 2016-06-21 |
| 1639575889 | Ryan Rubio | Physical Therapist | 174 Executive Dr, Danville, VA 24541-4100 | 2014-11-17 |
| 1144500844 | Daniel Dowdy | Physical Therapist | 487 Mount Hermon Cir, Danville, VA 24540-5287 | 2011-08-25 |
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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.