Individual provider Active NPI

Aneta Bodyziak, DPT

  • Physical Therapist
  • Wayne, NJ
National Provider Identifier
1902203144
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01585500 Issued in NJ
Practice address
15 Holmes LN
Wayne, NJ 07470-2814
Phone
(973) 949-1399
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01585500 NJ Primary

Addresses

Primary practice location

15 Holmes LN
Wayne, NJ 07470-2814

Mailing address

15 Holmes LN
Wayne, NJ 07470-2814

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Works, LLC Physical Therapist CurrentSince Apr 18, 2016 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Mar 10, 2015 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Dec 8, 2014 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

340 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 644-0860

350 Ramapo Valley Rd
Ste 30
Oakland, NJ 07436

Organizations & group practices 3

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": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1902203144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOLMES LN",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOLMES LN",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702814",
            "telephone_number": "973-949-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODYZIAK",
        "first_name": "ANETA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01585500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.