BODY WERKS PHYSICAL THERAPY PLLC
NPI 1669875415
Physical Therapist in Fredonia, NY
About Body Werks Physical Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BODY WERKS PHYSICAL THERAPY PLLC (NPI 1669875415) is a healthcare organization registered as a physical therapist in Fredonia, New York and active in the NPI registry since October 2014. The organization lists Jolie Anne Mandell, Owner/pt, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Body Werks Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Body Werks Physical Therapy PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Body Werks Physical Therapy PLLC's NPI number?
The NPI number for Body Werks Physical Therapy PLLC is 1669875415. It was assigned to this organization in the NPPES registry on October 7, 2014.
Where is Body Werks Physical Therapy PLLC located?
Body Werks Physical Therapy PLLC is located at 276 W Main St, Fredonia, NY 14063. The listed phone number is (716) 680-8180.
What is Body Werks Physical Therapy PLLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Body Werks Physical Therapy PLLC enrolled in Medicare?
Yes. Body Werks Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.
When is Body Werks Physical Therapy PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Body Werks Physical Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Body Werks Physical Therapy PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Body Werks Physical Therapy PLLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Body Werks Physical Therapy Pllc · NPI 1669875415
Physical Therapist organization in Fredonia, New York. Organization record, active in the CMS NPPES registry since October 7, 2014.
## Identity
- **NPI:** 1669875415 (Entity type: Organization)
- **Enumerated:** October 7, 2014
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Jolie Mandell, OWNER/PT
## Practice location
- **Address:** 276 W MAIN ST, Fredonia, NY 14063-2234
- **Phone:** (716) 680-8180 · **Fax:** (716) 680-8181
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669875415) · Data from the CMS NPPES public registry.