Individual provider Active NPI

Chris J. Ramirez, PT, DPT

  • Physical Therapist
  • Passaic, NJ
National Provider Identifier
1275819948
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01334100 Issued in NJ
Practice address
52 Main Ave
Passaic, NJ 07055-4419
Phone
(973) 396-5000
Fax
(973) 352-6451
NPI assigned
Oct 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01334100 NJ Primary

Addresses

Primary practice location

52 Main Ave
Passaic, NJ 07055-4419

Mailing address

72 Westover Ave
West Caldwell, NJ 07006-7723
Phone (201) 951-9675

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000017 NJ Practitioner - Physical Therapist in Private Practice 4082871280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialized Home Health Care, LLCGroup PAC ID 9830359140, 2 clinicians

Practice addresses (Care Compare)

52 Main Ave
Passaic, NJ 07055-4419
Phone (973) 396-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01334100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Home Health Care, LLC Physical Therapist CurrentSince Feb 8, 2012 Accepting new patients
Manalapan Medical Center PA PC PastSince Jul 11, 2022 Accepting new patients

Locations

52 Main Ave
Passaic, NJ 07055
Phone (973) 396-5000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBIEBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1275819948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WESTOVER AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067723",
            "telephone_number": "201-951-9675",
            "fax_number": "973-759-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554419",
            "telephone_number": "973-396-5000",
            "fax_number": "973-352-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "CHRIS",
        "middle_name": "J.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-26",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01334100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.