Healthcare Provider Details

I. General information

NPI: 1831143031
Provider Name (Legal Business Name): BODY MECHANIX PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1922 ERRINGER RD
SIMI VALLEY CA
93065-3525
US

IV. Provider business mailing address

1922 ERRINGER RD
SIMI VALLEY CA
93065-3525
US

V. Phone/Fax

Practice location:
  • Phone: 805-584-0001
  • Fax: 805-527-9135
Mailing address:
  • Phone: 805-584-0001
  • Fax: 805-527-9135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. BLAKE CARNEY
Title or Position: TREASURER AND SECRETARY
Credential: PT
Phone: 805-584-0001