Active NPI
Richard Bodian, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1861689002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013808-1
- Legal business name
- RICHARD BODIAN, PT
- Practice address
- 1390 Pennsylvania Ave
Brooklyn, NY 11239-2103 - Phone
- (718) 642-1100
- Fax
- (718) 642-2546
- NPI assigned
- Oct 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Ofriel
- Title
- Business Manager
- Phone
- (718) 370-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 013808-1 | NY | Primary |
Addresses
Primary practice location
1390 Pennsylvania Ave
Brooklyn, NY 11239-2103
Mailing address
1655 Richmond Ave
Suite B102
Staten Island, NY 10314-1570
Phone (718) 370-3500
Other names 1
- One On One Physical Therapy
National Provider Directory
National Provider DirectoryLocations
1655 Richmond Ave
Ste B102
Staten Island, NY 10314
Phone (718) 370-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191283200000",
"number": "1861689002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 RICHMOND AVE",
"address_2": "SUITE B102",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141570",
"telephone_number": "718-370-3500",
"fax_number": "718-370-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 PENNSYLVANIA AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112392103",
"telephone_number": "718-642-1100",
"fax_number": "718-642-2546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD BODIAN, PT",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A",
"authorized_official_last_name": "OFRIEL",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "718-370-3500"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "013808-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "One On One Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 2, 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.