# BODY DYNAMICS PHYSICAL THERAPY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215151139
- **Authorized official:** DR. KIRK THOMAS BRADLEY PT,DPT,M.S., ATC (PRESIDENT DIRECTOR)
- **Authorized official phone:** (209) 951-3265

## Contact information

- **Practice address:** 2105 W MARCH LN STE 3, STOCKTON, CA 95207-6407
- **Practice address phone:** (209) 951-3265
- **Practice address fax:** (209) 951-3285
- **Mailing address:** 13976 E SPARROW HAWK DR, LOCKEFORD, CA 95237-9545
- **Mailing address phone:** (209) 727-5594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT 23700 | CA | — |
| 2251E1200X | Ergonomics Physical Therapist | PT 23700 | CA | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 09/11/2025