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

Jason M Lydell, DPT

Individual provider Physical Therapist · NPI 1396263497

Jason M Lydell, DPT is a Physical Therapist in Private Practice in West New York, New Jersey. Qualified in 2017, 9 years ago. Practices with Community Rehab, LLC, a 14-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6701 Bergenline Ave
West New York, NJ 07093-1704
Phone: (201) 758-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01752500 (NJ)

Record details

NPI number1396263497
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 8, 2017
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Rehab, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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