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

Randy Patiag

Individual provider Physical Therapist · NPI 1174816557

Randy Patiag is a Physical Therapist in Private Practice in Hackensack, New Jersey. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
29
Licensed in
NJ
In the registry since
2011
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Practice location Address checks out

25 Prospect Ave
Hackensack, NJ 07601-1960
Phone: (201) 343-2277
Fax: (201) 343-7410
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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 40QA01238300 (NJ)

Record details

NPI number1174816557
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 18, 2011
Last updated in NPPESMay 18, 2011
Mailing address17 Parallel St, Norwalk, CT 06850-2627

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hackensack