Individual provider Active NPI

Dare Abiodun, PT, DPT

  • Physical Therapist
  • Matawan, NJ
National Provider Identifier
1417438698
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01810400 Issued in NJ
Practice address
158 Main St Ste 100
Matawan, NJ 07747-3178
Phone
(732) 931-4699
Fax
(646) 368-8339
NPI assigned
Aug 24, 2018
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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 40QA01810400 NJ Primary

Addresses

Primary practice location

158 Main St Ste 100
Matawan, NJ 07747-3178

Mailing address

158 Main St Ste 100
Matawan, NJ 07747-3178
Phone (732) 931-4699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180927003264 NJ Practitioner - Physical Therapist in Private Practice 1759632870 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Physical Therapy, PCGroup PAC ID 3577722727, 15 clinicians
At Your Best Therapy LLCGroup PAC ID 2769890029, 2 clinicians

Practice addresses (Care Compare)

158 Main St
Suite 100
Matawan, NJ 07747-3178
Phone (646) 820-5669

3405 State Route 33
Neptune, NJ 07753-3442
Phone (732) 918-0663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Physical Therapy, PC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Aug 24, 2018 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Aug 24, 2018 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Compassion Care Home Health Services LLC CurrentSince Oct 7, 2021 Accepting new patients
At Your Best Therapy LLC CurrentSince Jun 21, 2024 Accepting new patients

Locations

158 Main St
Ste 100
Matawan, NJ 07747
Phone (646) 820-5669

35 Elizabeth St
New Brunswick, NJ 08901
Phone (732) 238-3800

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

554 State Route 35
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

Organizations & group practices 6

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1417438698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MAIN ST STE 100",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473178",
            "telephone_number": "732-931-4699",
            "fax_number": "646-368-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MAIN ST STE 100",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473178",
            "telephone_number": "732-931-4699",
            "fax_number": "646-368-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIODUN",
        "first_name": "DARE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01810400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.