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1396814364 NPI number — BODYLINKS PHYSICAL THERAPY

NPI Number: 1396814364
Health Care Provider/Practitioner: BODYLINKS PHYSICAL THERAPY

Information about “1396814364” NPI (BODYLINKS PHYSICAL THERAPY) exists in 1396814364 in HTML format HTML  |  1396814364 in plain Text format TXT  |  1396814364 in PDF (Portable Document Format) PDF  |  1396814364 in an XML format XML  formats.

NPI Number : 1396814364 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396814364",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BODYLINKS PHYSICAL THERAPY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5033 BENT CREEK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLOYDS KNOBS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47119-9226",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-387-7783",
    "MailingAddressFaxNumber": "812-923-4183",
    "FirstLinePracticeLocationAddress": "4010 DUPONT CIR",
    "SecondLinePracticeLocationAddress": "SUITE L02",
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40207-4812",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-895-9292",
    "PracticeLocationAddressFaxNumber": "502-895-9296",
    "EnumerationDate": "11/06/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "THOMPSON",
    "AuthorizedOfficialFirstName": "MALISSA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MPT",
    "AuthorizedOfficialTelephoneNumber": "502-387-7783",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "003001",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "R2193",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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