Individual provider Active NPI

Ryan A. Bodnar

  • Physical Therapist
  • Rehoboth Beach, DE
National Provider Identifier
1902423510
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
19266 Coastal Hwy
Rehoboth Beach, DE 19971-6117
Phone
(302) 226-2230
Fax
(302) 227-7065
NPI assigned
Jun 30, 2020
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01931600 NJ
Physical Therapist 225100000X DE Primary

Addresses

Primary practice location

19266 Coastal Hwy
Rehoboth Beach, DE 19971-6117

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1900 Burlington Mount Holly Rd Ste 4C
Burlington, NJ 08016-4725
Phone (609) 747-1915

Other practice location 2

740 Marne Hwy Ste 203
Moorestown, NJ 08057-3127
Phone (856) 914-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429002485 DE Practitioner - Physical Therapist in Private Practice 2961825047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

19266 Coastal Hwy Units 9 and 10
Ati Physical Therapy
Rehoboth Beach, DE 19971-6117
Phone (302) 226-2230

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01931600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

1606 Savannah Rd
Ste 2
Lewes, DE 19958
Phone (302) 703-3245

17252 N Village Main Blvd
Unit 2
Lewes, DE 19958
Phone (302) 827-5123

19266 Coastal Hwy
Rehoboth Beach, DE 19971
Phone (302) 226-2230

19266 Coastal Hwy
Unit 10
Rehoboth Beach, DE 19971
Phone (302) 226-2230

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1902423510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19266 COASTAL HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716117",
            "telephone_number": "302-226-2230",
            "fax_number": "302-227-7065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Burlington Mount Holly Rd Ste 4C",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080164725",
            "country_code": "US",
            "telephone_number": "609-747-1915",
            "fax_number": "609-747-8565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Marne Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573127",
            "country_code": "US",
            "telephone_number": "856-914-1400",
            "fax_number": "856-914-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "RYAN",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01931600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.