Individual provider Active NPI

Paul Gregory Vidal, DPT

  • Orthopedic Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1376524173
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA00894500 Issued in NJ
Practice address
1930 Marlton Pike E
A-7
Cherry Hill, NJ 08003-2150
Phone
(856) 424-0993
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA00894500 NJ Primary

Addresses

Primary practice location

1930 Marlton Pike E
A-7
Cherry Hill, NJ 08003-2150

Mailing address

2906 Yarmouth LN
Mount Laurel, NJ 08054-6267
Phone (856) 608-1740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000198 NJ Practitioner - Physical Therapist in Private Practice 6608856729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipta Clinical, LLCGroup PAC ID 0749456119, 126 clinicians

Practice addresses (Care Compare)

11 Cadillac Rd
Burlington, NJ 08016-4816
Phone (609) 880-0880

175 Route 70
Suite 19
Medford, NJ 08055-2355
Phone (609) 714-3378

1919 Greentree Rd
Suite B
Cherry Hill, NJ 08003-1115
Phone (856) 424-0993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ipta Clinical, LLC Orthopedic CurrentSince Sep 1, 2023 Accepting new patients
Body Rebuilders, P.C. Past Accepting new patients
3 Dimensional Physical Therapy - Pelvic Health LLC PastSince Feb 23, 2025 Accepting new patients

Locations

1919 Greentree Rd
Ste B
Cherry Hill, NJ 08003
Phone (856) 424-0993

175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376524173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 YARMOUTH LN",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546267",
            "telephone_number": "856-608-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E",
            "address_2": "A-7",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032150",
            "telephone_number": "856-424-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "PAUL",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00894500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.