At Home Rehab LLC

Organization Active NPI Physical Therapy Clinic/Center · Poughkeepsie, NY

NPI 1003672379 · NPPES record last updated Aug 18, 2024

Key facts

NPI
1003672379
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
AT HOME REHAB LLC
Practice address
3 Dawson CT
Poughkeepsie, NY 12603-6280
Phone
(914) 484-8010
NPI assigned
Feb 26, 2024
Organization subpart
No

Authorized official

Name
Ramonchito Paulin, PHYSICAL THERAPIST NPI 1447382866
Title
Owner/Manager
Phone
(914) 484-8010

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240314000858 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527404425 Receives reassigned benefits from 1 practitioner
Practice locations: Poughkeepsie, NY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
2251G0304X
Home Health Agency 251E00000X
Physical Therapy Clinic/Center 261QP2000X Yes

Addresses

Primary practice location

3 Dawson CT
Poughkeepsie, NY 12603-6280

Mailing address

3 Dawson CT
Poughkeepsie, NY 12603-6280
Phone (914) 484-8010

Other names

  • AT HOME REHAB LLC Doing business as

Other providers in Poughkeepsie, NY

All providers in Poughkeepsie, NY · Physical Therapy Clinic/Center in New York

Sources for this page

Verify at the official NPI Registry.