Provider Demographics
NPI:1871374801
Name:BODY MECHANICS PHYSICAL THERAPY P.C.
Entity type:Organization
Organization Name:BODY MECHANICS PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORENCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-765-7487
Mailing Address - Street 1:1240 DAVEY DR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-8622
Mailing Address - Country:US
Mailing Address - Phone:248-765-7487
Mailing Address - Fax:
Practice Address - Street 1:24137 111TH ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8315
Practice Address - Country:US
Practice Address - Phone:630-931-3244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy