Organization
BODY MECHANIX PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE CARNEY PT (TREASURER AND SECRETARY)
(805) 584-0001
Entity
Organization
Contact information
Practice address
1922 ERRINGER RD, SIMI VALLEY, CA 93065-3525
(805) 584-0001
(805) 527-9135
Mailing address
1922 ERRINGER RD, SIMI VALLEY, CA 93065-3525
(805) 584-0001
(805) 527-9135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
377655700
U. S. DEPARTMENT OF LABOR
CA
01
—
ZZZ01345Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/20/2006
Last updated
08/11/2025
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