Active NPI
Ryan A. Bodnar
- Physical Therapist
- Rehoboth Beach, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01931600 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | 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.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DE, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Physical Therapy Clinic/Center
- Philadelphia, PA
- NPI 1659962587
Physical Therapist
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.