Daniel Sime Vidaic, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00904900 Issued in NJ

Practice address

20 Franklin Tpke Ste 220
Waldwick, NJ 07463-1754

Phone

(201) 885-4200

Fax

(201) 877-4100

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Recovery Room Physical Therapy and Athletic CenterGroup PAC ID 2860701463, 2 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 and National Provider Directory roles.

• The Recovery Room Physical Therapy and Athletic Center

  • Physical Therapist
  • Waldwick, NJ
  • NPI 1659774875
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1194875252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076490260",
            "telephone_number": "201-885-4200",
            "fax_number": "201-877-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FRANKLIN TPKE STE 220",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631754",
            "telephone_number": "201-885-4200",
            "fax_number": "201-877-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAIC",
        "first_name": "DANIEL",
        "middle_name": "SIME",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00904900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sean P Vankersen, PHARMD.
• Marco V Viscomi, PHARM.D.
• Donna L Wajda, PT, DPT
• Waldwick Board of Education
• Waldwick Dental Center
• Waldwick Family Chiropractic

• Physical Therapist in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.