Active NPI
Dayle J Federico, B.S.P.T.
- Physical Therapist
- Egg Harbor Township, NJ
National Provider Identifier
1629384730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00698800
- Practice address
- 116 Marshall Dr
Egg Harbor Township, NJ 08234-6008 - Phone
- (609) 204-4849
- Fax
- (609) 653-1258
- NPI assigned
- Aug 26, 2010
- Last updated
- May 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00698800 | NJ | Primary |
Addresses
Primary practice location
116 Marshall Dr
Egg Harbor Township, NJ 08234-6008
Mailing address
10325 Buena Ventura Dr
Boca Raton, FL 33498-6711
Phone (609) 204-4849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Rehabilitation Ambulatory Therapy and Wellness Services LLC | Physical Therapist | Past | Accepting new patients |
| S & H Rehabilitation Associates, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Northfield, NJ
- NPI 1467697086
-
dba Integrity Physical Therapy Wellness
- Physical Therapist
- Northfield, NJ
- NPI 1891083671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1629384730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10325 BUENA VENTURA DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334986711",
"telephone_number": "609-204-4849",
"fax_number": "609-653-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 MARSHALL DR",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082346008",
"telephone_number": "609-204-4849",
"fax_number": "609-653-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDERICO",
"first_name": "DAYLE",
"middle_name": "J",
"credential": "B.S.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00698800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.