Stefanie C Bodison, OTD

Primary specialty

Feeding, Eating & Swallowing Occupational TherapistTaxonomy code 225XF0002X

License

6575 Issued in CA

Practice address

1540 Alcazar St
Center for Health Professions (CHP) 133
Los Angeles, CA 90089-4712

Phone

(310) 990-3729

NPI assigned

Jan 1, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1114221405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ACAZAR CHP 133",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890001",
            "telephone_number": "310-990-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ALCAZAR ST",
            "address_2": "CENTER FOR HEALTH PROFESSIONS (CHP) 133",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900894712",
            "telephone_number": "310-990-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODISON",
        "first_name": "STEFANIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-01",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "6575",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "6575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Konstandopou Bode, M.D.
• Victoria Bodell, L.C.S.W.
• Michelle Elizabeth Boden, DDS
• Mark David Bodenstein, L.C.S.W.
• April Marie Bodily, RN, PMHNP-BC, FNP-C
• Ross Alan Bodle, MSW
• Anthony Bodlovic
• Calvin Chase Bodman, DDS
• Hannah Bodnar
• Johannes Bodner, M.D.

• Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.