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Export Provider Record NPI 1265629414
Richard Bodian, Pt
Organization Subpart: NO
Active
NPI Number1265629414
NPI TypeNPI-2 Organization
SpecialtyPhysical Therapist
Provider Details
NPI1265629414
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-10-02
Last Updated2008-05-08
Authorized OfficialDiane Ofriel
Business Manager
Phone: 7183703500
Mailing Address1655 Richmond Ave, Suite B102
Staten Island, NY 10314-1570
United States
Phone: (718) 370-3500 | Fax: (718) 370-9724
📍 View Map
Primary Practice Address33 Richmond Hill Rd
Staten Island, NY 10314-5950
United States
Phone: (718) 982-6340 | Fax: (718) 982-5358
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No225X00000X – Occupational Therapist--
Yes225100000X – Physical TherapistNY013808-1
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About NPI 1265629414

Richard Bodian, Pt is an organization registered in the CMS NPPES NPI Registry with NPI number 1265629414. The primary specialty listed is Physical Therapist. The organization is located in Staten Island, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-10-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1265629414?

NPI 1265629414 belongs to Richard Bodian, Pt, a Physical Therapist in Staten Island, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1265629414 active?

The current status of NPI 1265629414 in the NPPES registry is Active. The record was last updated on 2008-05-08.

What specialty is NPI 1265629414?

NPI 1265629414 is classified under the taxonomy Physical Therapist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1265629414?

You can verify NPI 1265629414 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1265629414?

The primary practice address on file for NPI 1265629414 is 33 Richmond Hill Rd, Staten Island, NY 10314-5950. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1265629414 issued?

NPI 1265629414 was first issued (enumerated) on 2007-10-02. The NPPES record was last updated on 2008-05-08.

Practice Location Map

Richard Bodian, Pt is located at 33 Richmond Hill Rd, Staten Island, NY. Use the map below to find directions or verify the practice location.

📍 33 Richmond Hill Rd, Staten Island, NY 10314-5950  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Richard Bodian, Pt. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1265629414. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physical Therapist013808-1NY
Data Verified from CMS NPPES Last synced: 2026-07-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162