Individual provider · Type 1 NPI

Charlotte Ellen Grace Bodack

Physical Therapist · Bethpage, NY

NPI number 1255284477 Active

Practice location

4250 Hempstead Tpke
Bethpage, NY 11714-5711

Call (516) 579-7870 Map

Mailing address

1650 Lyndon Farm Ct Ste 300
Louisville, KY 40223-5005

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X054732 (NY)

Physical Therapist: 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, r…

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About NPI 1255284477

Charlotte Ellen Grace Bodack's National Provider Identifier is 1255284477, issued on Feb 17, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Bethpage, NY. The record was last updated on Feb 17, 2026.