Active NPIIndividual provider

Mr. Rudolph D Vidi, PT, MPT

Physical Therapist in Little Egg Harbor, New Jersey

NPI Number1174582662
Practice location
279 Mathison Road, Southern Ocean Center For Health At Little Egg Harbor, Little Egg Harbor, NJ 08087
Fax
609-812-0539
Last updated
July 13, 2026

Rudolph Daniel Vidi is a Physical Therapist based in Little Egg Harbor, NJ. Rudolph Daniel Vidi practices in Little Egg Harbor, NJ and has the professional credentials of PT, MPT. The NPI Number for Rudolph Daniel Vidi is 1174582662 and holds a License No. 40QA01130800 (NJ). The current practice location address for Rudolph Daniel Vidi is 279 Mathison Road, Southern Ocean Center For Health At Little Egg Harbor, Little Egg Harbor, NJ 08087 and can be reached out via phone at 609-294-4006 and via fax at 609-812-0539.

Provider Profile Details

NPI Number
1174582662
Provider Name
Rudolph Daniel Vidi
Credential
PT, MPT
Provider Entity Type
Individual
Gender
Male
Address
279 Mathison Road, Southern Ocean Center For Health At Little Egg Harbor, Little Egg Harbor, NJ 08087
Phone Number
609-294-4006
Fax Number
609-812-0539
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
279 Mathison Road
Southern Ocean Center For Health At Little Egg Harbor
Little Egg Harbor, NJ 08087
Zip
08087
Phone Number
609-294-4006
Fax Number
609-812-0539
Little Egg Harbor, NJ 08087Get directions →

Provider Business Mailing Address Details

Address
1296 E Bay Ave
Manahawkin, NJ 08050-3942
City
Manahawkin
State
NJ
Zip
08050-3942
Phone Number
609-978-1623
Fax Number
609-978-1623

License Information

License Number (1)
40QA01130800
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
6989
License State (2)
WA
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
2366
License State (3)
AZ
Taxonomy (3)
Physical Therapist · 225100000X
License Number (4)
23864
License State (4)
CA
Taxonomy (4)
Physical Therapist · 225100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Rudolph D Vidi, PT, MPT?

The NPI number of Mr. Rudolph D Vidi, PT, MPT is 1174582662. It was assigned on March 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Rudolph D Vidi, PT, MPT?

Mr. Rudolph D Vidi, PT, MPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01130800.

Where does Mr. Rudolph D Vidi, PT, MPT practice?

The practice location is 279 Mathison Road, Southern Ocean Center For Health At Little Egg Harbor, Little Egg Harbor, NJ 08087. The office can be reached at 609-294-4006 (phone) or 609-812-0539 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174582662 directly on the NPPES registry website.

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