NEIKA LOUISDORT – Physical Therapist, NPI 1093697401

NEIKA LOUISDORT is a healthcare provider. based in Maplewood, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. CP046608T (TX). The NPI Number for NEIKA LOUISDORT is 1093697401

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
NEIKA LOUISDORT
NPI
1093697401
Phone
(908) 764-8507
Address
213 LAUREL AVE # 1
Enumeration Date
24 July 2025
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813489588
Graduation Year
2024 (2 years ago)
PAC ID
2062906589
Group Practice PAC ID
9133039647
Professional Enrollment ID
I20251211003127
Address ID
TX773392255KI605XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

4,922 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for NEIKA LOUISDORT

  • 213 LAUREL AVE # 1

    MAPLEWOOD, NJ 070401913

    Phone: (908) 764-8507

    Type: Mailing

  • 213 LAUREL AVE

    1

    MAPLEWOOD, NJ 07040

    Phone: (908) 764-8507

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251211003127IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133039647View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
-TX
Physical Therapist In Private PracticeOK
Occupational Therapist In Private PracticeTX
-TX

Reviews

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Frequently asked questions

Does NEIKA LOUISDORT share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NEIKA LOUISDORT uses 1093697401.
Is NEIKA LOUISDORT listed as active for patients and plans?
The listing shows NEIKA LOUISDORT as active in the NPI system.
What is NEIKA LOUISDORT's primary classification?
Physical Therapist is the headline specialty for NEIKA LOUISDORT here. Clinical services aligned with this taxonomy classification.
Where should I expect NEIKA LOUISDORT on a map?
Expect Maplewood, New Jersey as a primary anchor for NEIKA LOUISDORT unless the record lists multiple sites.
Is the information about NEIKA LOUISDORT up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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