Organization Active NPI

Ultima Rehab-NJ LLC

  • Geriatric Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1457722753
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
ULTIMA REHAB-NJ LLC
Practice address
132 Pearlcroft Rd
Cherry Hill, NJ 08034-3334
Phone
(609) 509-2388
Fax
(267) 790-0402
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X Primary
Gerontology Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XG0600X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

132 Pearlcroft Rd
Cherry Hill, NJ 08034-3334

Mailing address

132 Pearlcroft Rd
Cherry Hill, NJ 08034-3334
Phone (609) 509-2388

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1457722753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PEARLCROFT RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343334",
            "telephone_number": "609-509-2388",
            "fax_number": "267-790-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PEARLCROFT RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343334",
            "telephone_number": "609-509-2388",
            "fax_number": "267-790-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMA REHAB-NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "DUUS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-509-2388",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.