Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Villavicencio, PT, DPT

Individual provider Physical Therapist · NPI 1083296545

Daniel Villavicencio, PT, DPT is a Physical Therapist in Private Practice in Edison, New Jersey. Qualified in 2021, 5 years ago. Works from 2 locations and offers telehealth. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1071 Inman Ave Unit 4
Edison, NJ 08820-1132
Phone: (732) 518-8868
Fax: (732) 719-6080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 58 Timberline Rd, Bayville, NJ 08721-2171 — (732) 300-6536

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01999100 (NJ)

Record details

NPI number1083296545
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedApril 24, 2021
Last updated in NPPESJanuary 18, 2022
Certification dateJanuary 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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