NPIMap

Organization Active NPI

Richard Bodian, P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1922299536
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013808-1 Issued in NY
Legal business name
RICHARD BODIAN, P.T.
Practice address
4013 Avenue U
Brooklyn, NY 11234-5117
Phone
(718) 692-4100
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Mr. Richard A Bodian, P.T.
Title
Owner
Phone
(718) 692-4100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 013808-1 NY Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 009469-1 NY

Addresses

Primary practice location

4013 Avenue U
Brooklyn, NY 11234-5117

Mailing address

4013 Avenue U
Brooklyn, NY 11234-5117
Phone (718) 692-4100

Other identifiers 1

IdentifierTypeStateIssuer
Q3W1M1OtherNYMEDICARE NUMBER

Other names 1

  • One On One Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
One on One Physical Therapy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1922299536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345117",
            "telephone_number": "718-692-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345117",
            "telephone_number": "718-692-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD BODIAN, P.T.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "BODIAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-692-4100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013808-1",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "009469-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "Q3W1M1",
            "state": "NY"
        }
    ],
    "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 Aug 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.

Verify at the official NPI Registry.