Ally Physical Therapy,LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

ALLY PHYSICAL THERAPY,LLC

Doing business as

ALLY Physical Therapy,LLC

Practice address

2460 Lemoine Ave Ste 204
Fort Lee, NJ 07024-6210

Phone

(201) 282-8236

NPI assigned

Jul 5, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Liberty Young, PT,DPT,OCSNPI 1700087418

Title

Physical Therapist

Phone

(201) 282-8236

Specialties & licenses 6

Addresses

Other names 1

• ALLY Physical Therapy,LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Liberty Young, PHYSICAL THERAPIST

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1700087418
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1447821046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 8TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243521",
            "telephone_number": "201-282-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE STE 204",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246210",
            "telephone_number": "201-282-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY PHYSICAL THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-282-8236",
        "authorized_official_credential": "PT,DPT,OCS"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLY Physical Therapy,LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLY Physical Therapy,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick E Alcindor
• Irina Alekseyeva, M.D.
• Thomas B Allen, D.D.S.
• Allergy Alliance Group LLC
• Alliance Medical Surgical Group, LLC
• Lawrence Altman, D.C.
• Amanda G Alvarez, M.S. CCC-SLP
• Gabriella Dee Amaya, SLP
• Luz Maria Amigo, M.A., CCC-SLP
• Patience Ampofo

• Orthopedic Physical Therapist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.