Daniel Wayne Bodkin, PT,DPT,ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27572 Issued in FL

Practice address

13801 Bruce B Downs Blvd Ste 303
Tampa, FL 33613-3939

Phone

(813) 979-4819

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By the provider in NPPES

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)

Enrolled

Practice roles

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.

• Proactive Athletic Performance LLC

  • Physical Therapy Clinic/Center
  • Dunwoody, GA
  • NPI 1174396097
  NPD Authorized official
• Advanced Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Tampa, FL
  • NPI 1881610046
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1659626497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9824 BROMPTON DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336265125",
            "telephone_number": "813-979-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 303",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133939",
            "telephone_number": "813-979-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODKIN",
        "first_name": "DANIEL",
        "middle_name": "WAYNE",
        "credential": "PT,DPT,ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Bode, DPT
• Garrett Slade Bode, D.C.
• Hannah Elizabeth Bodenhorn, LMHC
• Phoebe Leo Bodewig
• Josephine A Bodi, NP
• Maryann Bodnar, LMHC, CAP,CSAT, CPTT
• Body & Soul Medical Spa Inc
• Body Contouring Inc
• Body Envi Weight Loss & Wellness II
• Body Envi Wellness LLC

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.