Active NPI
At Home Rehab LLC
- Physical Therapy Clinic/Center
- Poughkeepsie, NY
National Provider Identifier
1003672379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- AT HOME REHAB LLC
- Doing business as
- At Home Rehab LLC
- Practice address
- 3 Dawson CT
Poughkeepsie, NY 12603-6280 - Phone
- (914) 484-8010
- NPI assigned
- Feb 26, 2024
- Last updated
- Aug 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramonchito Paulin, PHYSICAL THERAPIST
- Title
- Owner/Manager
- Phone
- (914) 484-8010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary | ||
| Geriatric Physical Therapist | 2251G0304X |
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 1
- AT HOME REHAB LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Poughkeepsie, NY
- NPI 1447382866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723939200000",
"number": "1003672379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 DAWSON CT",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036280",
"telephone_number": "914-484-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 DAWSON CT",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036280",
"telephone_number": "914-484-8010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-08-18",
"certification_date": "2024-08-18",
"status": "A",
"authorized_official_last_name": "PAULIN",
"authorized_official_first_name": "RAMONCHITO",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "914-484-8010",
"authorized_official_credential": "PHYSICAL THERAPIST"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AT HOME REHAB LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AT HOME REHAB LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.