Individual ProviderCayla BodnerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 345-7600(937) 510-8599PECOS EnrollmentBased on the most recent information from CMS, provider Cayla Bodner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1932943453Provider TypeIndividualFull NameBodner, CaylaTitleDr.CredentialDPTGenderFemaleSole ProprietorYesEnumeration Date6/20/2024Last Updated6/20/2024Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-7600FaxUnlisted FaxMailing LocationMailing Address3189 Patrick Ct, Franklin, OH 45005-9469Phone(937) 510-8599FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT41745Florida