CHARLOTTE ELLEN GRACE BODACK
NPI 1255284477
Physical Therapist in Bethpage, NY

Active since February 17, 2026
4250 HEMPSTEAD TPKE, BETHPAGE, NY 11714(516) 579-7870 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1255284477
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCHARLOTTE ELLEN GRACE BODACK
Location Address4250 HEMPSTEAD TPKEBethpage, NY 11714-5711
Mailing Address1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1255284477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 054732
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4250 HEMPSTEAD TPKE, Bethpage, NY 11714

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).

PECOS PAC ID3375024342
PECOS Enrollment IDI20260226004480

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
4250 HEMPSTEAD TPKE, SUITE 4
BETHPAGE, NY 11714
Internal Medicine
4250 HEMPSTEAD TPKE, SUITE 17
BETHPAGE, NY 11714
Dentist (General Practice)
4250 HEMPSTEAD TPKE, #4
BETHPAGE, NY 11714
Physical Therapist
4250 HEMPSTEAD TPKE, STE.1
BETHPAGE, NY 11714
Internal Medicine (Nephrology)
4250 HEMPSTEAD TPKE, SUITE 17
BETHPAGE, NY 11714
Psychiatry & Neurology (Neurology)
4250 HEMPSTEAD TPKE, SUITE 21
BETHPAGE, NY 11714
Dentist (General Practice)
4250 HEMPSTEAD TPKE, SUITE 7
BETHPAGE, NY 11714
Physical Therapist
4250 HEMPSTEAD TPKE, STE 1
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.