Individual provider Active NPI

Nicole C Cordes, DPT

  • Physical Therapist
  • Hackettstown, NJ
National Provider Identifier
1912407586
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01894400 Issued in NJ
Practice address
108 Bilby Rd Ste 201
Hackettstown, NJ 07840-4174
Phone
(908) 684-5646
NPI assigned
Feb 20, 2018
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026714 PA
Physical Therapist 225100000X 40QA01894400 NJ Primary

Addresses

Primary practice location

108 Bilby Rd Ste 201
Hackettstown, NJ 07840-4174

Mailing address

PO Box 416495
Boston, MA 02241-5258
Phone (631) 580-5200

Other practice location 1

100 Almshouse Rd
Richboro, PA 18954-1108
Phone (215) 357-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200225000741 NJ Practitioner - Physical Therapist in Private Practice 3577825181 Reassigns benefits to 1 organization

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
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

108 Bilby Rd
Suite 201
Hackettstown, NJ 07840-4174
Phone (908) 684-5646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Oct 17, 2019 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Oct 17, 2019 Accepting new patients
Bucks Physical & Sports Rehabilitation LLC PastSince Feb 8, 2018 Accepting new patients

Locations (25 of 39)

15 Newark Ave
Ste 101
Belleville, NJ 07109

1255 Broad St
Ste 207
Bloomfield, NJ 07003
Phone (973) 771-9500

70 Manheim Ave
Ste 3
Bridgeton, NJ 08302
Phone (856) 455-9700

1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000

2200 Wallace Blvd
Ste E
Cinnaminson, NJ 08077
Phone (856) 829-0015

1011 Clifton Ave
Clifton, NJ 07013
Phone (973) 471-8200

925 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 330-0705

23204 Columbus Rd
Columbus, NJ 08022
Phone (609) 324-1200

210 North Ave E
Ste 1
Cranford, NJ 07016
Phone (908) 276-0237

579 Cranbury Rd
Ste C
East Brunswick, NJ 08816
Phone (732) 432-0733

45 Broad St
Elmer, NJ 08318
Phone (856) 358-6200

15 Nathaniel Pl
Englewood, NJ 07631
Phone (201) 731-8580

187 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 377-5655

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

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

108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646

450 Amwell Rd
Ste 7
Hillsborough, NJ 08844
Phone (908) 359-3744

79 Hudson St
Ste 402
Hoboken, NJ 07030
Phone (201) 792-1170

254 Newark Ave
Jersey City, NJ 07302
Phone (551) 222-4396

344 Delsea Dr
Ste 4
Malaga, NJ 08328
Phone (856) 694-0881

773 Route 70 E
Ste E110
Marlton, NJ 08053
Phone (856) 282-0339

131 Route 70
Medford, NJ 08055
Phone (856) 533-0920

176 Route 70
Ste 14
Medford, NJ 08055
Phone (609) 714-7733

85 Godwin Ave
Midland Park, NJ 07432
Phone (201) 639-8870

18 Centre Dr
Monroe Twp, NJ 08831
Phone (609) 655-4200

Organizations & group practices 4

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1912407586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416495",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BILBY RD STE 201",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404174",
            "telephone_number": "908-684-5646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Almshouse Rd",
            "address_purpose": "LOCATION",
            "city": "Richboro",
            "state": "PA",
            "postal_code": "189541108",
            "country_code": "US",
            "telephone_number": "215-357-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDES",
        "first_name": "NICOLE",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026714",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01894400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.