DR. PAUL GREGORY VIDAL (NPI# 1376524173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376524173 |
Entity Type | Individual |
Full Name | DR. PAUL GREGORY VIDAL |
Credential | DPT |
Practice Address |
1930 Marlton Pike E A-7 Cherry Hill NJ 08003-2150 |
Mailing Address |
2906 Yarmouth Ln Mount Laurel NJ 08054-6267 |
Practice Telephone | 8564240993 |
Mailing Telephone | 8566081740 |
Enumeration Date | 2005-11-09 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA00894500 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1930 MARLTON PIKE E A-7 |
City | CHERRY HILL |
State | NJ |
Zip Code | 08003-2150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457356115 | Joellyn L Ross | Psychologist | 1930 Marlton Pike E, Ste J49, Cherry Hill, NJ 08003-4106 | 2005-06-17 |
1720586571 | Amber Ladorne Benziger | Counselor | 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150 | 2018-01-26 |
1164944617 | Rachel Berson Carlton | Speech-Language Pathologist | 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150 | 2017-07-15 |
1770022188 | Connect Our Hearts Counseling Services | Marriage & Family Therapist | 1930 Marlton Pike E, Suite K57, Cherry Hill, NJ 08003-2150 | 2017-02-17 |
1508309964 | Family Wellness Services | Psychiatry & Neurology | 1930 Marlton Pike E, J50, Cherry Hill, NJ 08003-2150 | 2016-12-02 |
1356883573 | Susan Gibbs | Counselor | 1930 Marlton Pike E, Suite M-68, Cherry Hill, NJ 08003-2150 | 2016-11-07 |
1215479308 | Initia Nova Medical Solutions | Internal Medicine | 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150 | 2016-11-07 |
1447706346 | Carey Young | Social Worker | 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150 | 2016-08-30 |
1558712737 | Robin Baker | Speech-Language Pathologist | 1930 Marlton Pike E, Suite A4, Cherry Hill, NJ 08003-2150 | 2016-06-28 |
1033565536 | Amy Rossano & Associates, LLC | Occupational Therapist | 1930 Marlton Pike E, Suite A1, Cherry Hill, NJ 08003-2150 | 2016-05-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
Find all providers in zip 08003 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508467424 | Brittany Kranson | Physical Therapist | 1873 Route 70 E Ste 1, Cherry Hill, NJ 08003-2034 | 2020-11-06 |
1427304310 | Matthew James | Physical Therapist | 1919 Greentree Rd Ste B, Cherry Hill, NJ 08003-1115 | 2012-07-28 |
1265527949 | Edmund Joseph Lenny | Physical Therapist | 1430 Marlton Pike E, Cherry Hill, NJ 08034-2230 | 2006-10-04 |
1750337127 | Eileen Mcclaskey | Physical Therapist | 1871 Route 70 E, Cherry Hill, NJ 08003-2020 | 2006-05-26 |
1629628003 | Rachel E. Balluch | Physical Therapist | 1919 Greentree Rd Ste B, Cherry Hill, NJ 08003-1115 | 2019-09-17 |
1861046864 | Justin Datorre | Physical Therapist | 1873 Route 70 E Ste 1-j, Cherry Hill, NJ 08003-2034 | 2019-07-29 |
1275011108 | Amanda Connors | Physical Therapist | 1820 Old Cuthbert Rd, Cherry Hill, NJ 08034-1414 | 2018-08-02 |
1548746142 | Morgan Kline | Physical Therapist | 1820 Old Cuthbert Rd, Cherry Hill, NJ 08034-1414 | 2018-07-17 |
1982145850 | Gabriel Rocco | Physical Therapist | 1820 Old Cuthbert Rd, Cherry Hill, NJ 08034-1414 | 2017-03-13 |
1225571623 | Anthony Reid | Physical Therapist | 1820 Old Cuthbert Rd, Cherry Hill, NJ 08034-1414 | 2016-12-02 |
Find all providers in CHERRY HILL |
City | CHERRY HILL |
Zip Code | 08003 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.