Charlotte Ellen Grace Bodack
Charlotte Ellen Grace Bodack is a Physical Therapist in Private Practice in Bethpage, New York. Qualified in 2025, 1 year ago. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2026
Practice location Address checks out
4250 Hempstead TpkeBethpage, NY 11714-5711
Phone: (516) 579-7870
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 054732 (NY) |
|---|
Record details
| NPI number | 1255284477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 17, 2026 |
| Last updated in NPPES | February 17, 2026 |
| Certification date | February 17, 2026 |
| Mailing address | 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Bethpage
-
Active Mobility Physical Therapy PC
59 Martin Rd N, Bethpage, NY 11714-5119 · (516) 680-5484
-
Thomas Ahrens
4250 Hempstead Tpke Ste 1, Bethpage, NY 11714-5711 · (516) 579-7870
-
Miss. Nicole Berrios, MSPT
24 Devon Rd, Bethpage, NY 11714-1107 · (917) 575-7998
-
Carmine Buffalino, PT
25 Berkshire Rd, Bethpage, NY 11714-1025 · (516) 932-6935
-
Dr. Michael Anthony Camp, DPT
4250 Hempstead Tpke STE.1, Bethpage, NY 11714-5711 · (516) 579-7870
-
Dr. Danielle Marie Cohan
31 Carrie Ave, Bethpage, NY 11714-6406 · (516) 589-3799
-
Chris Donald
4080 Hempstead Tpke, Bethpage, NY 11714-5604 · (516) 862-3358