Individual provider Active NPI

Patrick Joseph Dudley, PT, DPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1407401532
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0004117 Issued in DE
Practice address
910 Foulk Rd
Wilmington, DE 19803-3158
Phone
(302) 477-1536
NPI assigned
Aug 6, 2019
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 J1-0004117 DE Primary

Addresses

Primary practice location

910 Foulk Rd
Wilmington, DE 19803-3158

Mailing address

3848 Fau Blvd
Ste 105
Boca Raton, FL 33431-6437
Phone (561) 395-2920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013003290 FL Practitioner - Physical Therapist in Private Practice 7214267236 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy, LLCGroup PAC ID 2264423458, 104 clinicians

Practice addresses (Care Compare)

2875 S Ocean Blvd
Suite 105
Palm Beach, FL 33480-5591
Phone (561) 533-9833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Jun 5, 2023 Accepting new patients
USA Sports Therapy South Miami Inc Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
USA Sports Medicine LLC CurrentSince Jun 20, 2022 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Orthopedic Center of Palm Beach County CurrentSince Jun 5, 2023 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

6201 N Federal Hwy
Boca Raton, FL 33487
Phone (561) 245-8103

9060 Kimberly Blvd
Ste 44
Boca Raton, FL 33434
Phone (561) 482-7474

10275 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 300-1400

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone (561) 697-6500

6724 Forest Hill Blvd
Greenacres, FL 33413
Phone (561) 433-2009

21150 Biscayne Blvd
Ste 406
Miami, FL 33180

404 Washington Ave
Ste 120
Miami Beach, FL 33139
Phone (305) 479-2973

2875 S Ocean Blvd
Ste 105
Palm Beach, FL 33480
Phone (561) 346-1773

1221 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 697-6500

2605 S State Road 7
Ste 430
Wellington, FL 33414

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1407401532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 FAU BLVD",
            "address_2": "STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316437",
            "telephone_number": "561-395-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033158",
            "telephone_number": "302-477-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0004117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.