Provider Demographics
NPI:1396814364
Name:BODYLINKS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:BODYLINKS PHYSICAL THERAPY
Other - Org Name:BODYLINKS INTEGRATED THERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:502-387-7783
Mailing Address - Street 1:5033 BENT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-9226
Mailing Address - Country:US
Mailing Address - Phone:502-387-7783
Mailing Address - Fax:812-923-4183
Practice Address - Street 1:4010 DUPONT CIR
Practice Address - Street 2:SUITE L02
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4812
Practice Address - Country:US
Practice Address - Phone:502-895-9292
Practice Address - Fax:502-895-9296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY003001225100000X
KYR2193225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7851Medicare ID - Type Unspecified