Individual provider Active NPI

Joseph Benjamin Mordus, PT, DPT,MPH, MBA

  • Physical Therapist
  • Sherman, CT
National Provider Identifier
1306155254
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033098-1 Issued in NY
Practice address
4 Echo Rd
Sherman, CT 06784-2508
Phone
(860) 237-5511
Fax
(860) 207-8005
NPI assigned
Sep 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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 033098-1 NY Primary

Addresses

Primary practice location

4 Echo Rd
Sherman, CT 06784-2508

Mailing address

4 Echo Rd
Sherman, CT 06784-2508
Phone (860) 237-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110330000587 NY Practitioner - Physical Therapist in Private Practice 5597948448 Reassigns benefits to 1 organization
I20251003000213 CT Practitioner - Physical Therapist in Private Practice 5597948448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anb-Ptsma Holdings IncGroup PAC ID 4789572926, 190 clinicians

Practice addresses (Care Compare)

43 Main St
New Milford, CT 06776-2863
Phone (860) 946-0710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
033098-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anb-Ptsma Holdings, Inc. Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Holt Chiropractic Offices, P.C. Past Accepting new patients

Locations

43 Main St
New Milford, CT 06776
Phone (860) 946-0710

103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885

47 N Main St
West Hartford, CT 06107
Phone (860) 409-4595

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

Organizations & group practices 3

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": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1306155254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ECHO RD",
            "city": "SHERMAN",
            "state": "CT",
            "postal_code": "067842508",
            "telephone_number": "860-237-5511",
            "fax_number": "860-207-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ECHO RD",
            "city": "SHERMAN",
            "state": "CT",
            "postal_code": "067842508",
            "telephone_number": "860-237-5511",
            "fax_number": "860-207-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDUS",
        "first_name": "JOSEPH",
        "middle_name": "BENJAMIN",
        "credential": "PT, DPT,MPH, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033098-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.