Charlotte Ellen Grace Bodack
Physical Therapist · Bethpage, NY
Charlotte Ellen Grace Bodack is a physical therapist with a practice address in Bethpage, New York, and NPI 1255284477, issued on Feb 17, 2026. Check the license (New York 054732, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Charlotte Ellen Grace Bodack
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 054732 NY
Self-reported in NPPES; status is on the state search - Practice location
- 4250 Hempstead Tpke, Bethpage, NY 11714
- Phone
- (516) 579-7870
- Enumerated
- Feb 17, 2026
- Record last updated
- Feb 17, 2026
- Medicare enrollment
- Enrolled (PECOS I20260226004480); may accept Medicare assignment
- Entity
- Type 1 · individual
Also registered at 4250 Hempstead Tpke
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Thomas AhrensPhysical Therapist1811386964
- Michael Camp, DPTPhysical Therapist1184602658
- Gina Cuccurullo-Schiavo, DMDGeneral Practice Dentistry1841465705
- Joseph D'Ambrosio, DMDGeneral Practice Dentistry1366455594
- Kenneth Einberg, MDNeurology Physician1972657534
- Steven Ender, DONeurology Physician1609875657
Verify Charlotte Ellen Grace Bodack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 054732Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
30 physical therapist records list a practice address in Bethpage
They are 30 of the 653 NPPES records with a practice address in Bethpage, and 21,756 physical therapist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 30 in Bethpage → All 21,756 in New York → Every provider in Bethpage →
Other physical therapist records in New York
- Cheryl Aaron, PT, DPT, CWSElma, NY1184933376
- David AaronsonLevittown, NY1891665881
- Ramon AbadGlendale, NY1194219303
- Sheila Marie Abadia-Dona, PTElmhurst, NY1013282078
- Maria Geslani Abadilla, P.T.Hicksville, NY1669608196
- Alicia Abalo, PTNew York, NY1316211329
- Maria Theresa Abalos, PHYSICAL THERAPISTBrooklyn, NY1114022514
- Mariecris Abamonga, PTBronx, NY1083646582
- Jose Aban, PTMiddletown, NY1487925483
- Rebecca AbanganBrooklyn, NY1013662691
Common questions
What is Charlotte Ellen Grace Bodack's NPI number?
Charlotte Ellen Grace Bodack's National Provider Identifier (NPI) is 1255284477, issued on Feb 17, 2026. An NPI identifies a provider in billing; it is not a license.
Where is Charlotte Ellen Grace Bodack located?
The NPPES record lists a practice address at 4250 Hempstead Tpke, Bethpage, NY, 11714. Phone: (516) 579-7870. Providers update this record themselves, so call before visiting.
How can I verify Charlotte Ellen Grace Bodack's license?
NPPES lists New York license number 054732, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.