BODYGAMES (NPI# 1346862125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346862125 |
| Entity Type | Organization |
| Organization Name | BODYGAMES |
| Practice Address |
3823 Guess Rd Durham NC 27705-1505 |
| Mailing Address |
63 Pridgen Rd Lumberton NC 28358-9726 |
| Practice Telephone | 9108273992 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | DERICK MARCEL COE (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9108273992 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1174775969 | 05 | |
| NC | BCBS | 1174775969 | 01 |
| Street Address |
3823 GUESS RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003807108 | Scott Richardson Hardin | Dentist | 3823 Guess Rd, Suite P, Durham, NC 27705-1505 | 2005-10-31 |
| 1538396130 | Nirmi Patel | Dentist | 3823 Guess Rd, Suite P, Durham, NC 27705-1505 | 2009-06-22 |
| 1104007996 | Debora A. Bolton, Dds, Pa | Dentist | 3823 Guess Rd, Suite P, Durham, NC 27705-1505 | 2007-11-20 |
| 1053437095 | Zara Hernandez | Dentist | 3823 Guess Rd, Durham, NC 27705-1505 | 2007-03-21 |
| 1316975428 | Debora Ann Bolton | Dentist | 3823 Guess Rd, Suite P, Durham, NC 27705-1533 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009144 | Radiance Physical Therapy LLC | Clinic/Center | 9 Richmond Ct, Durham, NC 27713-8376 | 2020-09-30 |
| 1386250124 | Nicol Chiropractic Center | Clinic/Center | 7011 Fayetteville Rd Ste 106b, Durham, NC 27713-7745 | 2020-09-17 |
| 1902280829 | Acussage Wellness Therapy | Clinic/Center | 3208 Kirby St, Durham, NC 27713-1286 | 2015-07-10 |
| 1326425950 | Cpl Premier Therapy LLC | Clinic/Center | 205 Emerald Pond Ln #202, Durham, NC 27705-6051 | 2015-05-04 |
| 1700271871 | Emilee Billeaud | Clinic/Center | 1307 Glendale Ave, Durham, NC 27701-1921 | 2015-04-05 |
| 1699374124 | Whitten Physical Therapy LLC | Clinic/Center | 4300 Garrett Rd, Durham, NC 27707-3487 | 2020-10-26 |
| 1083182265 | Kaizen Physical Therapy | Clinic/Center | 3326 Durham Chapel Hill Blvd Ste 230a, Durham, NC 27707-6266 | 2018-11-06 |
| 1407339534 | Above and Beyond Pt, Inc. | Clinic/Center | 1113 Branwell Dr, Durham, NC 27703-8366 | 2018-09-14 |
| 1942750435 | Wellness Station LLC | Clinic/Center | 3001 Academy Rd, Suite130, Durham, NC 27707-2660 | 2016-10-07 |
| 1376093906 | Performax Physical Therapy and Sports Rehabilitation, LLC | Clinic/Center | 5501 Fortunes Ridge Dr, Ste. L, Durham, NC 27713-6102 | 2016-10-06 |
| Find all providers in DURHAM | ||||
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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.