Daniel Modell Bodkin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017623 Issued in NY

Practice address

Helen Hayes Hospital
51-55 Route 9W
West Haverstraw, NY 10993-1195

Phone

(845) 786-4673

Fax

(845) 786-4650

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649494378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 STONY HILL LN",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942015",
            "telephone_number": "845-786-4673",
            "fax_number": "845-786-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HELEN HAYES HOSPITAL",
            "address_2": "51-55 ROUTE 9W",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931195",
            "telephone_number": "845-786-4673",
            "fax_number": "845-786-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODKIN",
        "first_name": "DANIEL",
        "middle_name": "MODELL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Terry Berg, OTR
• Steve Kerwin Best
• Arun Kumar Bhattacharyya, M.D.
• Tim Bischoff, CPO
• Sarah Blackinton, OTR
• Maria Anna Boiano, DO
• William Bonilla, OMT
• Jodi Ann Brangaccio, PT
• Brave Hearts ABA Services LLC
• Bumble Bee Speech LLC

• Physical Therapist in West Haverstraw, NY
• Providers in West Haverstraw, NY by specialty
• Physical Therapist in New York

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