Chad Joseph Dortu

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1209 Riverside Dr
Mays Landing, NJ 08330-1480

Phone

(856) 982-8592

NPI assigned

Dec 6, 2017

Last updated

May 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Shore Physical TherapyGroup PAC ID 9830117043, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Shore Physical Therapy

  • Physical Therapist
  • Linwood, NJ
  • NPI 1992838643
  Medicare reassignment Care Compare group NPD
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1033624549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 RIVERSIDE DR",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301480",
            "telephone_number": "856-982-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 RIVERSIDE DR",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301480",
            "telephone_number": "856-982-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORTU",
        "first_name": "CHAD",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-06",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devereux Foundation (Devereux Advanced Behavioral Health)
• Huey Diep
• Mary Diffenderfer
• James C Dimarino, DMD
• Carolyn Dipietro, LCS
• Dream MHS LLC
• Dream MHS LLC
• Dream MHS LLC
• DTF Yoga LLC (DTF YOGA LLC DBA Zen Landing Wellness Studio)
• Heather Dugandzic

• Athletic Trainer in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.