Healthcare Provider Details

I. General information

NPI: 1235352022
Provider Name (Legal Business Name): BODYWORX PHYSICAL THERAPY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 N WOODLAWN ST SUITE 2
WICHITA KS
67208-4334
US

IV. Provider business mailing address

430 N WOODLAWN ST SUITE 2
WICHITA KS
67208-4334
US

V. Phone/Fax

Practice location:
  • Phone: 316-558-8808
  • Fax: 316-558-8818
Mailing address:
  • Phone: 316-558-8808
  • Fax: 316-558-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateKS

VIII. Authorized Official

Name: CODY G BARNETT
Title or Position: PRESIDENT
Credential: P.T.
Phone: 316-558-8808