Provider Demographics
NPI:1568489912
Name:BODY TECHNIC SYSTEMS, INC.
Entity Type:Organization
Organization Name:BODY TECHNIC SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SUNDAY
Authorized Official - Last Name:HOMITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-248-9255
Mailing Address - Street 1:33200 BAINBRIDGE RD STE D
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2862
Mailing Address - Country:US
Mailing Address - Phone:440-248-9255
Mailing Address - Fax:440-248-3608
Practice Address - Street 1:33200 BAINBRIDGE RD
Practice Address - Street 2:SUITE D
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2850
Practice Address - Country:US
Practice Address - Phone:440-248-9255
Practice Address - Fax:440-248-3608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-4634225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9329891Medicare PIN