BODY DYNAMICS, INC. (NPI# 1386721850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386721850 |
| Entity Type | Organization |
| Organization Name | BODY DYNAMICS, INC. |
| Practice Address |
2660 Canyon Blvd Suite A-4 Boulder CO 80302-6748 |
| Practice Telephone | 3034405776 |
| Practice Fax Number | 3035460020 |
| Mailing Telephone | 3034405776 |
| Mailing Fax Number | 3035460020 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINDSAY ROSS (CO-OWNER) |
| Authorized Official Telephone | 3034405776 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | BODY DYNAMICS, INC. | 2760 29th St Ste 1b, Boulder, CO 80301-1221 |
| Connecticut Business Registrations | BODY DYNAMICS, INC. | 75 Main Ave, Norwalk, CT 06852 |
| Massachusetts Corporations | BODY DYNAMICS, INC. | 42 Woodleigh Rd., Dedham, MA 02026 |
| Street Address |
2660 CANYON BLVD SUITE A-4 |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-6748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1669092219 | Olympian Pllc | Clinic/Center | 2755 Iris Ave Apt 8, Boulder, CO 80304-2440 | 2020-04-23 |
| 1407345705 | Karen Renee Hatami | Clinic/Center | 3480 Colorado Ave Apt D7, Boulder, CO 80303-1942 | 2018-05-02 |
| 1902207863 | Therapydia Colorado, Inc. | Clinic/Center | 1727 15th St, Suite 100, Boulder, CO 80302-6341 | 2014-09-10 |
| 1013940808 | Active Solutions Physical Therapy, P.C. | Clinic/Center | 4150 Darley Ave, Suite 8, Boulder, CO 80305-6557 | 2006-07-08 |
| 1164023768 | Mitchell Schroeder LLC | Clinic/Center | 1440 28th St Ste 2, Boulder, CO 80303-1030 | 2020-11-02 |
| 1295384667 | Reform Health & Rehab, LLC | Clinic/Center | 3000 Center Green Dr Ste 110, Boulder, CO 80301-2364 | 2019-09-09 |
| 1174179915 | Boulder Community Health | Clinic/Center | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2019-08-16 |
| 1538721238 | Colorado Sports Performance Therapy | Clinic/Center | 1440 28th St Ste 2, Boulder, CO 80303-1030 | 2019-07-02 |
| 1134784291 | Flowstate Physical Therapy & Performance | Clinic/Center | 2749 Iris Ave, Boulder, CO 80304-2433 | 2019-05-04 |
| Find all providers in BOULDER | ||||
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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.