CHARLOTTE ELLEN GRACE BODACK
NPI 1255284477
Physical Therapist in Bethpage, NY
About Charlotte Ellen Grace Bodack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLOTTE ELLEN GRACE BODACK (NPI 1255284477) is an individual physical therapist in Bethpage, New York, licensed in New York (054732) and active in the NPI registry since February 2026. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlotte Ellen Grace Bodack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BETHPAGE, NY 11714
BETHPAGE, NY 11714
BETHPAGE, NY 11714
BETHPAGE, NY 11714
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charlotte Bodack's NPI number?
The NPI number for Charlotte Bodack is 1255284477. It was assigned to this individual provider in the NPPES registry on February 17, 2026.
Where is Charlotte Bodack located?
Charlotte Bodack practices at 4250 Hempstead Tpke, Bethpage, NY 11714. The listed phone number is (516) 579-7870.
What is Charlotte Bodack's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Charlotte Bodack enrolled in Medicare?
Yes. Charlotte Bodack is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Charlotte Bodack was last updated on February 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.