Individual provider Active NPI

Patricia U. Verdote

  • Physical Therapist
  • Paramus, NJ
National Provider Identifier
1124178991
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01227400 Issued in NJ
Practice address
205 Robin Rd
Suite 118
Paramus, NJ 07652-1449
Phone
(201) 225-1511
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01227400 NJ Primary

Addresses

Primary practice location

205 Robin Rd
Suite 118
Paramus, NJ 07652-1449

Mailing address

2 E Gate St
Little Ferry, NJ 07643-1053
Phone (201) 983-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070216000205 NJ Practitioner - Physical Therapist in Private Practice 5193827491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Health Physical Therapy Associates PAGroup PAC ID 1456361302, 15 clinicians

Practice addresses (Care Compare)

1060 Main St
Suite 302
River Edge, NJ 07661-2592
Phone (201) 833-0234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01227400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Therapy LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Back to Health Physical Therapy Associates, P.a. Physical Therapist CurrentSince Jul 17, 2008 Accepting new patients

Locations

1060 Main St
Ste 302
River Edge, NJ 07661
Phone (201) 833-0234

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1124178991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E GATE ST",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431053",
            "telephone_number": "201-983-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD",
            "address_2": "SUITE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521449",
            "telephone_number": "201-225-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDOTE",
        "first_name": "PATRICIA",
        "middle_name": "U.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01227400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.