NPIMap

Organization Active NPI

Exemplary Home Therapy Services LLC

  • Rehabilitation Clinic/Center
  • Belleville, NJ
National Provider Identifier
1235823311
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
EXEMPLARY HOME THERAPY SERVICES LLC
Practice address
1616 Hamilton St
Belleville, NJ 07109-5346
Phone
(856) 506-6281
Fax
(862) 762-2998
NPI assigned
Jun 2, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jose N Bacolod Jr., PT, DPTNPI 1972558260
Title
Owner/Manager
Phone
(856) 506-6281

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1616 Hamilton St
Belleville, NJ 07109-5346

Mailing address

1616 Hamilton St
Belleville, NJ 07109-5346
Phone (856) 506-6281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230621001798 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0840658084 Receives reassigned benefits from 26 practitioners
Practice locations: Belleville, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1235823311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 HAMILTON ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095346",
            "telephone_number": "856-506-6281",
            "fax_number": "862-762-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 HAMILTON ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095346",
            "telephone_number": "856-506-6281",
            "fax_number": "862-762-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXEMPLARY HOME THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "BACOLOD",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "856-506-6281",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.

Verify at the official NPI Registry.