Individual provider Active NPI

Kristine Nicole Bodine, DPT

  • Neurology Physical Therapist
  • Pinellas Park, FL
National Provider Identifier
1720556384
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
41158 Issued in FL
Practice address
9079 Belcher Rd N
Pinellas Park, FL 33782-4423
Phone
(727) 616-0809
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 5501018686 MI
Neurology Physical Therapist 2251N0400X 41158 FL Primary

Addresses

Primary practice location

9079 Belcher Rd N
Pinellas Park, FL 33782-4423

Mailing address

2609 Jarvis Cir
Palm Harbor, FL 34683-7224
Phone (507) 269-2486

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726001184 FL Practitioner - Physical Therapist in Private Practice 3971049883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neubility Rehabilitation and Wellness LLCGroup PAC ID 0648642553, 12 clinicians

Practice addresses (Care Compare)

Pinellas Park, FL 33782
Phone (727) 616-0809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41158FLMDNeurology Physical Therapist
5501018686MIMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neubility Rehabilitation and Wellness LLC Neurology CurrentSince Jul 2, 2024 Accepting new patients

Locations

9079 Belcher Rd N
Pinellas Park, FL 33782
Phone (727) 616-0809

Organizations & group practices 1

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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1720556384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 JARVIS CIR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346837224",
            "telephone_number": "507-269-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9079 BELCHER RD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824423",
            "telephone_number": "727-616-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODINE",
        "first_name": "KRISTINE",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MI",
            "license": "5501018686",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "41158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.