Active NPI
Danielle C Rayder, DPT
- Physical Therapist
- Riverdale, NJ
National Provider Identifier
1871927749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01514000
- Practice address
- 69 Newark Pompton Tpke
Riverdale, NJ 07457-1426 - Phone
- (973) 248-8111
- NPI assigned
- Aug 28, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 40QA01514000 | NJ | Primary |
Addresses
Primary practice location
69 Newark Pompton Tpke
Riverdale, NJ 07457-1426
Mailing address
69 Newark Pompton Tpke
Riverdale, NJ 07457-1426
Phone (973) 248-8111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01514000 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paramus Orthopedic Physical Therapy | Past | Accepting new patients | |
| Access Physical Therapy & Wellness, Inc | 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 and National Provider Directory roles.
-
- Preferred Provider Organization
- Paramus, NJ
- NPI 1588114680
-
- Physical Therapist
- Clayton, NC
- NPI 1881630358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487462400000",
"number": "1871927749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 NEWARK POMPTON TPKE",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571426",
"telephone_number": "973-248-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 NEWARK POMPTON TPKE",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571426",
"telephone_number": "973-248-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYDER",
"first_name": "DANIELLE",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2017-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01514000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, NJ
- Pompton Dental Arts of Riverdale LLC
- Progressive Diagnostic Imaging, LLC (Progressive Diagnostic Imaging)
- Push to Walk
- Danver Quintin, OTR/L
- Christopher Rago, DPT
- Regional Cancer Care Associates LLC
- Kenneth Remsen, MD
- Riverdale Family Dental, PA
- Riverdale Surgery Center LLC
- Riverdale Vision Care, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.