| Body Concepts | |
|
1675 Creekside Drive, Ste 101, Folsom, CA 95630-3891 | |
| (916) 939-6800 | |
| (916) 939-6874 |
| Full Name | Body Concepts |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 1675 Creekside Drive, Folsom, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841396033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | PT14742 (California) | Primary |
| Provider Name | Robert B Kopitzke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699823146 PECOS PAC ID: 3375596570 Enrollment ID: I20080612000904 |
| Provider Name | Jesse Thomas Boyle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760054886 PECOS PAC ID: 1951707256 Enrollment ID: I20210913001582 |
| Provider Name | Ian Michael Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851074454 PECOS PAC ID: 1355795022 Enrollment ID: I20230928002741 |
| Provider Name | Yung-chieh Hwang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336713841 PECOS PAC ID: 2769884543 Enrollment ID: I20240618003244 |
| Mailing Address | Practice Location Address |
|---|---|
| Body Concepts 1675 Creekside Drive, Ste 101, Folsom, CA 95630-3891 Ph: (916) 939-6800 | Body Concepts 1675 Creekside Drive, Ste 101, Folsom, CA 95630-3891 Ph: (916) 939-6800 |