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

Mick P Sudol, DPT

Individual provider Physical Therapist · NPI 1255802898

Mick P Sudol, DPT is a Physical Therapist in Private Practice in Paramus, New Jersey. Qualified in 2018, 8 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Massachusetts and New Jersey.

Years since qualifying
8
Licensed in
MA, NJ
In the registry since
2018
Specialties on file
2
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

650 From Rd Ste 420
Paramus, NJ 07652-3551
Phone: (201) 639-6620
Fax: (201) 972-8980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 145 Rosemary St Ste K3, Needham, MA 02494-3259 — (339) 201-3009
  • 795 Franklin Ave, Franklin Lakes, NJ 07417-1368 — (201) 639-6620
  • 50 Craig Rd, Montvale, NJ 07645-1709 — (201) 639-6620

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01835900 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 25774 (MA)

Record details

NPI number1255802898
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 7, 2018
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing address331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5688

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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