NPIMap

Organization Active NPI

Ultima Rehab-NJ LLC

  • Geriatric Physical Therapist
  • Wall Township, NJ
National Provider Identifier
1427426485
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
ULTIMA REHAB-NJ LLC
Practice address
2601 New Jersey Ave
Wall Township, NJ 07719-4519
Phone
(610) 590-1385
Fax
(267) 790-0402
NPI assigned
Sep 8, 2015
Last updated
Sep 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Austin Duus
Title
Cfo
Phone
(609) 509-2388

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X NU Primary
Speech-Language Pathologist 235Z00000X NU
Gerontology Occupational Therapist 225XG0600X NU

Addresses

Primary practice location

2601 New Jersey Ave
Wall Township, NJ 07719-4519

Mailing address

826 Highland Ave
Morrisville, PA 19067-1071
Phone (610) 590-1385

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 63

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 63

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1427426485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 HIGHLAND AVE",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190671071",
            "telephone_number": "610-590-1385",
            "fax_number": "267-790-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 NEW JERSEY AVE",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194519",
            "telephone_number": "610-590-1385",
            "fax_number": "267-790-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMA REHAB-NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "DUUS",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-509-2388"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.