Active NPI
Richard Bodian, PT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1306037023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013808-1
- Legal business name
- RICHARD BODIAN, PT
- Practice address
- 1655 Richmond Ave
Suite B102
Staten Island, NY 10314-1570 - Phone
- (718) 370-3500
- Fax
- (718) 370-9727
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard A Bodian, P.T.
- Title
- Owner
- Phone
- (718) 692-4100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 013808-1 | NY | Primary |
| Occupational Therapist | 225X00000X | 009469-1 | NY |
Addresses
Primary practice location
1655 Richmond Ave
Suite B102
Staten Island, NY 10314-1570
Mailing address
4013 Avenue U
Brooklyn, NY 11234-5117
Phone (718) 692-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QMW1M1 | Other | NY | MEDICARE PROVIDER NUMBER |
Other names 1
- One On One Physical Therapy
National Provider Directory
National Provider DirectoryLocations
33 Richmond Hill Rd
Staten Island, NY 10314
Phone (718) 982-5358
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1679649735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186444800000",
"number": "1306037023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345117",
"telephone_number": "718-692-4100",
"fax_number": "718-692-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 RICHMOND AVE",
"address_2": "SUITE B102",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141570",
"telephone_number": "718-370-3500",
"fax_number": "718-370-9727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD BODIAN, PT",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A",
"authorized_official_last_name": "BODIAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-692-4100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "013808-1",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "009469-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "QMW1M1",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "One On One Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.