BODYWISE PHYSICAL THERAPY & ACUPUNCTURE, LLC (NPI# 1588807580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588807580 |
| Entity Type | Organization |
| Organization Name | BODYWISE PHYSICAL THERAPY & ACUPUNCTURE, LLC |
| Other Organization Name | BODYWISE PHYSICAL THERAPY |
| Practice Address |
9881 Brokenland Pkwy Columbia MD 21046-1172 |
| Practice Telephone | 2408412639 |
| Practice Fax Number | 2408412644 |
| Mailing Telephone | 2408412639 |
| Mailing Fax Number | 2408412644 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |
| Authorized Official Name | ARIANNA Z BERKOWITZ (OWNER) |
| Authorized Official Telephone | 2408412639 |
| 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 |
19264 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BodyWise Physical Therapy | Doing Business As Name - Organization |
| Street Address |
9881 BROKENLAND PKWY |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003990607 | Aimee E Mccullough | Psychologist | 9881 Brokenland Pkwy, 105, Columbia, MD 21046-1172 | 2006-10-24 |
| 1124356100 | Bobbi Hitchcock Boteler | Dietitian, Registered | 9881 Brokenland Pkwy, Ste 105, Columbia, MD 21046-1172 | 2009-12-02 |
| 1073742581 | Talya Dawn Bradford | Counselor | 9881 Brokenland Pkwy, Suite 105, Columbia, MD 21046-1172 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1366007338 | Red Canyon, LLC | Clinic/Center | 5500 Knoll North Dr Ste 230, Columbia, MD 21045-2362 | 2019-05-06 |
| 1861964728 | Forever Fit Physical Therapy & Wellness LLC | Clinic/Center | 9881 Broken Land Pkwy Ste 103, Columbia, MD 21046-3013 | 2018-12-17 |
| 1780181305 | Glackin Physiotherapy, LLC | Clinic/Center | 9159 Red Branch Rd Ste F, Columbia, MD 21045-2041 | 2018-04-10 |
| 1063938108 | Limitless Physiotherapy, LLC | Clinic/Center | 9192 Red Branch Rd Ste 120, Columbia, MD 21045-2053 | 2017-08-21 |
| 1659802791 | Kelsey Marie Okruch | Clinic/Center | 6607 Chrissula Ln, Columbia, MO 65203-6613 | 2017-03-21 |
| 1245693399 | Women's Health Pt of Central Md LLC | Clinic/Center | 7130 Minstrel Way Ste Ll110, Columbia, MD 21045-5261 | 2016-04-05 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on BODYWISE PHYSICAL THERAPY & ACUPUNCTURE, LLC.
| 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.