Individual provider Active NPI

Darcy Bodger, OTR/L

  • Specialist
  • Minneapolis, MN
National Provider Identifier
1689917528
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
100009 Issued in MN
Practice address
1250 W Broadway Ave
Minneapolis, MN 55411-2533
Phone
(612) 668-2053
NPI assigned
Mar 28, 2013
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 100009 MN Primary

Addresses

Primary practice location

1250 W Broadway Ave
Minneapolis, MN 55411-2533

Mailing address

1250 W Broadway Ave
Minneapolis, MN 55411-2533
Phone (612) 668-0000

Other practice location 1

5025 Bryant Ave N
Minneapolis, MN 55430-3500
Phone (612) 688-2020

Other practice location 2

1607 51st Ave N
Minneapolis, MN 55430-3433
Phone (612) 688-1640

Other practice location 3

4320 Newton Ave N
Minneapolis, MN 55412-1150
Phone (612) 668-2000

Other practice location 4

1800 34th Ave NE
Minneapolis, MN 55418-1423
Phone (612) 668-1600

Other identifiers 1

IdentifierTypeStateIssuer
100009OtherMNMN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100009MNMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1689917528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112533",
            "telephone_number": "612-668-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112533",
            "telephone_number": "612-668-2053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5025 Bryant Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554303500",
            "country_code": "US",
            "telephone_number": "612-688-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1607 51st Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554303433",
            "country_code": "US",
            "telephone_number": "612-688-1640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Newton Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554121150",
            "country_code": "US",
            "telephone_number": "612-668-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 34th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554181423",
            "country_code": "US",
            "telephone_number": "612-668-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODGER",
        "first_name": "DARCY",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "100009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN LICENSE",
            "identifier": "100009",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.