JUSTIN FREDHOFF (PT, DPT) – Physical Therapist, NPI 1700609955

JUSTIN FREDHOFF (PT, DPT) is a healthcare provider. based in Delran, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 40QA02292300 (NJ). The NPI Number for JUSTIN FREDHOFF (PT, DPT) is 1700609955

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN FREDHOFF (PT, DPT)
NPI
1700609955
Phone
(856) 460-6424
Address
3104 Bridgeboro Rd Ste B
Enumeration Date
6 November 2024
Last Update Date
7 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8564606424
Graduation Year
2024 (2 years ago)
PAC ID
8527595941
Group Practice PAC ID
0749456119
Professional Enrollment ID
I20241226001151
Address ID
NJ080759716DE3104XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for JUSTIN FREDHOFF (PT, DPT)

  • 3104 Bridgeboro Rd Ste B

    Delran, NJ 080759716

    Phone: (856) 460-6424

    Fax: (856) 544-3286

    Type: Location

  • 30 W Maple Ave

    Merchantville, NJ 081095104

    Phone: (856) 661-0200

    Fax: (856) 661-0204

    Type: Location

  • 14 PARKE PLACE BLVD STE D

    SEWELL, NJ 080802662

    Phone: (856) 256-8393

    Fax: (856) 256-8390

    Type: Mailing

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: 2024-12-26

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
I20241226001151IPhysical Therapist In Private PracticeNJTBD

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 08075)

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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: 0749456119View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeMA
-NJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for JUSTIN FREDHOFF (PT, DPT)?
JUSTIN FREDHOFF (PT, DPT) — NPI 1700609955 — is the standard way to identify this listing.
Does the file indicate JUSTIN FREDHOFF (PT, DPT) is practicing under active NPI?
Directory data currently reports JUSTIN FREDHOFF (PT, DPT) as active.
What taxonomy line describes JUSTIN FREDHOFF (PT, DPT)?
For research purposes, treat JUSTIN FREDHOFF (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JUSTIN FREDHOFF (PT, DPT) on a map?
Expect Delran, New Jersey as a primary anchor for JUSTIN FREDHOFF (PT, DPT) unless the record lists multiple sites.
Is the information about JUSTIN FREDHOFF (PT, DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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