Niketa Bodalia, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH3221 Issued in AL

Practice address

18601 E Silverhill Ave
Robertsdale, AL 36567

Phone

(251) 947-7911

Fax

(251) 947-2697

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bodalia Rehab Services, Inc

  • Physical Therapy Clinic/Center
  • Robertsdale, AL
  • NPI 1558452920

  Physical Therapist

  Medicare reassignment NPD
• BRS, Inc

  • Physical Therapist
  • Mobile, AL
  • NPI 1073836318
  NPD (past) Authorized official
• Bodalia Body Basics, Inc

  • Physical Therapist
  • Robertsdale, AL
  • NPI 1861691016
  NPD (past)
• Physical Therapy of West Georgia

  • Physical Therapy Clinic/Center
  • Columbus, GA
  • NPI 1619068087
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1780775148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 E SILVERHILL AVE",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-947-7911",
            "fax_number": "251-947-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 E SILVERHILL AVE",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-947-7911",
            "fax_number": "251-947-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODALIA",
        "first_name": "NIKETA",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "008191",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF AL",
            "identifier": "51046794",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP LEGACY#",
            "identifier": "I951",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF GA",
            "identifier": "52183885002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Phillip Bell, M.D.
• Malia Anne Bishop, MA
• Bodalia Body Basics, Inc
• Bodalia Rehab Services, Inc
• Bodalia Rehab SVCS
• Bonnie J Hindman LLC
• Ethan John Brunet, D.C
• Julieana Brzozowski, CRNP, FNP-C
• Duane Carley, LICSW
• Castlebrook Counseling Inc

• Physical Therapist in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.