Dare Abiodun, PT, DPT

Individual provider Active NPI Physical Therapist · Matawan, NJ

NPI 1417438698 · NPPES record last updated Jan 20, 2023

Key facts

NPI
1417438698
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA01810400 (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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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, PC (15 clinicians)
At Your Best Therapy LLC (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

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

554 State Route 35
Red Bank, NJ 07701

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01810400 NJ Yes

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

Other providers in Matawan, NJ

All providers in Matawan, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.