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Brittany Nicole Bodenbender

Occupational Therapist Feeding, Eating & Swallowing Occupational Therapist - Pediatrics Occupational Therapist - Neurorehabilitation and 1 more

150 Southpark Blvd Ste 202
St Augustine , Florida 32086-5179

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Occupational Therapist
  • Feeding, Eating & Swallowing
  • Occupational Therapist - Neurorehabilitation
  • Occupational Therapist - Physical Rehabilitation
  • Occupational Therapist - Pediatrics

Languages spoken

  • English

Location

150 Southpark Blvd Ste 202 St Augustine , Florida 32086-5179

First Address

  • Brittany Nicole Bodenbender
  • 55 N Hamilton Springs Rd
  • Saint Augustine, FL
  • Zip : 32084-0008
  • Phone : (904) 304-5689

Second Address

  • Brittany Nicole Bodenbender
  • 150 Southpark Blvd Ste 202
  • St Augustine, FL
  • Zip : 32086-5179
  • Fax : (904) 467-3422
  • Phone : (904) 217-3103

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FAQs


Where did Brittany Nicole Bodenbender attend graduate school?

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Where did Brittany Nicole Bodenbender do her residency?

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Where did Brittany Nicole Bodenbender do her fellowship?

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Is Brittany Nicole Bodenbender board certified?

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What type of doctor is Brittany Nicole Bodenbender

Occupational Therapist

In what state does Brittany Nicole Bodenbender practice in?

Florida

Where is Brittany Nicole Bodenbender ’s practice located?

150 Southpark Blvd Ste 202 , St Augustine, Florida, 32086-5179

What is Brittany Nicole Bodenbender ’s gender?

Female

Is Brittany Nicole Bodenbender a sole practitioner?

No

Is Brittany Nicole Bodenbender accepting new patients?

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What languages does Brittany Nicole Bodenbender speak?

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Does Brittany Nicole Bodenbender accept insurance?

Yes, Brittany Nicole Bodenbender accepts insurance

Does Brittany Nicole Bodenbender offers telemedicine?

Brittany Nicole Bodenbender has not indicated if she offers telemedicine

What is Brittany Nicole Bodenbender ’s professional license number?

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What is Brittany Nicole Bodenbender ’s NPI number?

1588241509

Does Brittany Nicole Bodenbender have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225X00000X Occupational Therapist OT21030 FL
N 225XF0002X Feeding, Eating & Swallowing OT21030 FL
N 225XN1300X Occupational Therapist - Neurorehabilitation OT21030 FL
N 225XP0019X Occupational Therapist - Physical Rehabilitation OT21030 FL
N 225XP0200X Occupational Therapist - Pediatrics OT21030 FL

National Provider Identifier

NPI 1588241509
Provider Name Brittany Nicole Bodenbender
First Address Saint Augustine, FL 32084-0008
Second Address St Augustine, FL 32086-5179
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 25/03/2021
Last Update Date 25/03/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
OT21030 STATE LICENSE NUMBER (01) FL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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