Active NPI
Carol Bodnar, OTRL
- Occupational Therapist
- Methuen, MA
National Provider Identifier
1831215979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 38
- Practice address
- 1 Hobart Rd
Methuen, MA 01844-5213 - Phone
- (978) 683-6771
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 38 | MA | Primary |
Addresses
Primary practice location
1 Hobart Rd
Methuen, MA 01844-5213
Mailing address
1 Hobart Rd
Methuen, MA 01844-5213
Phone (978) 683-6771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OG0031 | Other | MA | BCBSMA GROUP NUMBER |
| OT0107 | Other | MA | BCBSMA PROVIDER NUMBER |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831215979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOBART RD",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445213",
"telephone_number": "978-683-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOBART RD",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445213",
"telephone_number": "978-683-6771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODNAR",
"first_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "38",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA GROUP NUMBER",
"identifier": "OG0031",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA PROVIDER NUMBER",
"identifier": "OT0107",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.