Individual provider Active NPI

Ryder Verdoni, PT, DPT

  • Physical Therapist
  • Brick, NJ
National Provider Identifier
1700532652
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02072800 Issued in NJ
Practice address
2770 Hooper Ave # 16
Brick, NJ 08723-4160
Phone
(732) 714-5061
Fax
(732) 714-5062
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 40QA02072800 NJ Primary

Addresses

Primary practice location

2770 Hooper Ave # 16
Brick, NJ 08723-4160

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (888) 830-4125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308001673 NJ Practitioner - Physical Therapist in Private Practice 7517351554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Rehab Somerset PAGroup PAC ID 0547540809, 57 clinicians
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

1130 Broad St
Trinity Rehab Shrewsbury
Shrewsbury, NJ 07702-4308
Phone (800) 518-0977

2770 Hooper Ave
Suite 16
Brick, NJ 08723-4160
Phone (732) 714-5062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02072800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Apr 14, 2025 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Apr 14, 2025 Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

2770 Hooper Ave
#16
Brick, NJ 08723
Phone (732) 714-5061

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

1130 Broad St
Trinity Rehab Shrewsbury
Shrewsbury, NJ 07702

1130 Broad St
Trinity Rehab Shrewsbury
Shrewsbury, NJ 07702

175 Route 37 W
#R
Toms River, NJ 08755

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 5

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1700532652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "888-830-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 HOOPER AVE # 16",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234160",
            "telephone_number": "732-714-5061",
            "fax_number": "732-714-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDONI",
        "first_name": "RYDER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02072800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.