Stacy Bodner, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00871800 Issued in NJ

Practice address

178 Gordons Corner Rd
Marlboro, NJ 07746-1209

Phone

(732) 617-6877

NPI assigned

Dec 20, 2013

Last updated

Sep 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stacy Beth Strauss Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Home Therapy LLC

  • Physical Therapist
  • Freehold, NJ
  • NPI 1861966129
  Medicare reassignment NPD
• Bodner Physician Services PA

  • Physical Medicine & Rehabilitation Physician
  • Morganville, NJ
  • NPI 1912416959

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1467873281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 GORDONS CORNER RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461209",
            "telephone_number": "732-617-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 GORDONS CORNER RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461209",
            "telephone_number": "732-617-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNER",
        "first_name": "STACY",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00871800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "STRAUSS",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Joy Black, DNP
• Catherine A. Blandford, PSY.D.
• Gerald M Blumenfeld, DDS
• Patricia Tiwaa Boachie
• Brittney Bocchino
• Amanda Kathryn Brendli, OTR/L
• Allison Jill Brodsky, L.C.S.W.
• David Brody, D.M.D.
• Ezra Jared Brown, DMD, MS
• Melissa Ann Bruno, MS, OTR/L

• Physical Therapist in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.