Individual provider Active NPI

Richard A Bodian, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1679649735
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013808-1 Issued in NY
Practice address
2133 Ralph Ave
Brooklyn, NY 11234-5405
Phone
(718) 451-1400
Fax
(718) 451-2797
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013808-1 NY Primary

Addresses

Primary practice location

2133 Ralph Ave
Brooklyn, NY 11234-5405

Mailing address

31 New Dorp LN
Staten Island, NY 10306-2351
Phone (718) 370-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001058 NY Practitioner - Physical Therapist in Private Practice 7810986700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

4013 Ave U
Brooklyn, NY 11234-5117
Phone (718) 692-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013808-1NYMDPhysical Therapist
013808NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Nov 30, 2009 Accepting new patients
Richard Bodian, PT Physical Therapist PastSince May 6, 2004 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

194 Joralemon St
Brooklyn, NY 11201
Phone (718) 643-7116

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

2555 Hempstead Tpke
Ste 1
East Meadow, NY 11554
Phone (516) 418-2324

201 E 21st St
Apt 1B
New York, NY 10010
Phone (212) 353-5029

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1679649735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062351",
            "telephone_number": "718-370-3500",
            "fax_number": "718-979-5236"
        },
        {
            "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": {
        "last_name": "BODIAN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013808-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.