BRIAN BODAO (DPT) – Physical Therapist, NPI 1326801416

BRIAN BODAO (DPT) is a healthcare provider. based in Sacramento, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 305517 (CA). The NPI Number for BRIAN BODAO (DPT) is 1326801416

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN BODAO (DPT)
NPI
1326801416
Phone
Not provided
Address
3850 DUCKHORN DR APT 1127
Enumeration Date
1 February 2024
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9168361111
Graduation Year
2023 (3 years ago)
PAC ID
5799124251
Group Practice PAC ID
0749636231
Professional Enrollment ID
I20240416003667
Address ID
CA956308594FO50XXXCIRX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for BRIAN BODAO (DPT)

  • 3850 DUCKHORN DR APT 1127

    SACRAMENTO, CA 958341371

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240416003667IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95834)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749636231View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is the registry number for BRIAN BODAO (DPT)?
The registry entry for BRIAN BODAO (DPT) shows NPI 1326801416.
Should I treat BRIAN BODAO (DPT) as an active provider?
Patients and plans typically see BRIAN BODAO (DPT) as active in the national extract.
Which specialty label fits BRIAN BODAO (DPT)?
NPPES ties BRIAN BODAO (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to BRIAN BODAO (DPT)?
The directory associates BRIAN BODAO (DPT) with Sacramento, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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