STACY BODINE
NPI 1639534399
Specialist/Technologist - Athletic Trainer in Lawrenceville, NJ

Q: What is Stacy Bodine's NPI number?

The NPI number for Stacy Bodine is 1639534399. It was assigned to this individual provider in the NPPES registry on December 23, 2015.

Q: What is Stacy Bodine's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Bodine was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 23, 2015

3401 PRINCETON PIKE, LAWRENCEVILLE, NJ 08648(609) 203-1642 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2025, Dec 23, 2015 (2 updates tracked since 2015).

On this page

About Stacy Bodine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY BODINE (NPI 1639534399) is an individual athletic trainer provider in Lawrenceville, New Jersey, licensed in New Jersey (25MT00312000) and active in the NPI registry since December 2015. She maintains a secondary practice location in Lakeland.

NPPES Registry Identity

NPI1639534399

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameSTACY BODINE

Location Address3401 PRINCETON PIKELawrenceville, NJ 08648-1205

Mailing Address38 Revolution Way Apt 112Ewing, NJ 08628-1940

Phone(609) 203-1642

Sole ProprietorNo

Enumeration DateDecember 23, 2015

Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration

NPPES CertifiedDecember 17, 2025

✔ NPI 1639534399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in NJ · 25MT00312000

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3401 PRINCETON PIKE, Lawrenceville, NJ 08648

Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Lake Hollingsworth Dr, BOX 4102lakeland, FL 33801 · Phone (909) 206-3717

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES B CANAVAN M.D., PH.D.

Internal Medicine (Gastroenterology)