Organization Active NPI

Richard Bodian, PT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1306037023
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013808-1 Issued in NY
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

Updated by the provider on Aug 7, 2007

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.NPI 1679649735
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 013808-1 NY Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
QMW1M1OtherNYMEDICARE PROVIDER NUMBER

Other names 1

  • One On One Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.