Active NPI
Ultra Health PT & Pta, PLLC
Doing business as Ultra Health Physical & Aquatic Therapy
- Physical Therapist
- Bay Shore, NY
National Provider Identifier
1013155746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021499-1
- Legal business name
- ULTRA HEALTH PT & PTA, PLLC
- Doing business as
- Ultra Health Physical & Aquatic Therapy
- Practice address
- 53 Brentwood Rd
Suite B
Bay Shore, NY 11706-6923 - Phone
- (631) 328-5920
- Fax
- (631) 328-5921
- NPI assigned
- Feb 3, 2009
- 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
- Mr. Edward W Kalten Jr., PT
- Title
- Owner/Director
- Phone
- (631) 328-5920
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021499-1 | NY | Primary |
| Physical Therapy Assistant | 225200000X | 003072-1 | NY |
Addresses
Primary practice location
53 Brentwood Rd
Suite B
Bay Shore, NY 11706-6923
Mailing address
53 Brentwood Rd
Suite B
Bay Shore, NY 11706-6923
Phone (631) 328-5920
Other names 1
- Ultra Health Physical & Aquatic Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
53 Brentwood Rd
Ste B
Bay Shore, NY 11706
Phone (631) 328-5920
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bay Shore, NY
- NPI 1932125689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233705600000",
"number": "1013155746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 BRENTWOOD RD",
"address_2": "SUITE B",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117066923",
"telephone_number": "631-328-5920",
"fax_number": "631-328-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 BRENTWOOD RD",
"address_2": "SUITE B",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117066923",
"telephone_number": "631-328-5920",
"fax_number": "631-328-5921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTRA HEALTH PT & PTA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-03",
"last_updated": "2009-02-04",
"status": "A",
"authorized_official_last_name": "KALTEN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "631-328-5920",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "021499-1",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "003072-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ultra Health Physical & Aquatic Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.