BODIKEY PHYSICAL THERAPY, LLC (NPI# 1043722481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043722481 |
| Entity Type | Organization |
| Organization Name | BODIKEY PHYSICAL THERAPY, LLC |
| Practice Address |
1522 N Riverfront Dr Mankato MN 56001 |
| Mailing Address |
140 Spyglass Dr Mankato MN 56001-8750 |
| Practice Telephone | 2186393449 |
| Mailing Telephone | 2186393449 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | DR. MATTHEW HODGDEN (OWNER) |
| Authorized Official Telephone | 2186393449 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
10635 | MN | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1821 Bassett Dr Ste 101, Mankato, MN 560016223 | 2186393449 |
| Street Address |
1522 N RIVERFRONT DR |
| City | MANKATO |
| State | MN |
| Zip Code | 56001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336677855 | Matthew David Hodgden | Physical Medicine & Rehabilitation | 1522 N Riverfront Dr, Mankato, MN 56001 | 2017-05-29 |
| 1912504390 | Ethan Brinkmann | Physical Therapist | 1522 N Riverfront Dr, Mankato, MN 56001-0459 | 2020-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716669 | C.o.m.p.e.t.e Physical Therapy & Wellness LLC | Clinic/Center | 1517 Johnson Dr, Moorhead, MN 56560-7441 | 2020-09-27 |
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1700419207 | Emily L Parnell | Clinic/Center | 983 James Ave, Saint Paul, MN 55102-3330 | 2020-02-13 |
| 1447898358 | Joy Physical Therapy Inc. | Clinic/Center | 1648 River Bluff Ct, Eagan, MN 55121-1719 | 2019-12-11 |
| 1578125159 | Evolve Rehab & Performance LLC | Clinic/Center | 4346 Wooddale Ave, St Louis Park, MN 55424-1061 | 2019-07-03 |
| 1093375198 | Taylor Doeden | Clinic/Center | 1929 33rd St S, Moorhead, MN 56560-3951 | 2019-06-19 |
| 1083176101 | Transcend Rehab & Wellness LLC | Clinic/Center | 1227 17th St Sw, Willmar, MN 56201-2843 | 2019-04-05 |
| 1891250635 | Physiyo, LLC | Clinic/Center | 8646 Eagle Creek Cir Suite 109, Savage, MN 55378-1572 | 2019-02-06 |
| 1922562883 | Kinecio | Clinic/Center | 7650 Currell Blvd Ste 325, Woodbury, MN 55125-2257 | 2019-01-24 |
| 1366916363 | She Pt LLC | Clinic/Center | 5410 Abbott Pl, Edina, MN 55410-2320 | 2019-01-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.