Organization Active NPI

Richard Bodian PT

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1528138476
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0138081 Issued in NY
Legal business name
RICHARD BODIAN PT
Practice address
2133 Ralph Ave
Brooklyn, NY 11234-5405
Phone
(718) 451-1400
Fax
(718) 451-2797
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Richard A Bodian, PT
Title
Owner Director of Rehabilation
Phone
(718) 451-1480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 0094691 NY
Physical Therapy Clinic/Center 261QP2000X 0138081 NY Primary

Addresses

Primary practice location

2133 Ralph Ave
Brooklyn, NY 11234-5405

Mailing address

1655 Richmond Avenue
Suite B102
Staten Island, NY 10314
Phone (718) 370-3500

Other names 1

  • One On One Physical Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1528138476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 RICHMOND AVENUE",
            "address_2": "SUITE B102",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-370-3500",
            "fax_number": "718-370-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345405",
            "telephone_number": "718-451-1400",
            "fax_number": "718-451-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD BODIAN PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "BODIAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DIRECTOR OF REHABILATION",
        "authorized_official_telephone_number": "718-451-1480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0094691",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0138081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One On One Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.