Ultracare Physical Therapy LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ULTRACARE PHYSICAL THERAPY LLC

Practice address

1245 Schreier Rd Ste a
Rossford, OH 43460-1443

Phone

(419) 578-7360

Fax

(419) 578-7361

NPI assigned

Oct 25, 2010

Organization subpart

Yes

Parent organization

ULTRACARE PHYSICAL THERAPY LLCAs reported in NPPES

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

Authorized official

Name

Ajayaghosh M. Krishnan, PTNPI 1801814264

Title

Administrator

Phone

(419) 578-7360

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 3

• AmeriCare Home Health of Fremont Doing business as
• HOME HEALTH OF FREMONT Doing business as
• Home Health of Fremont, LLC Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Ultracare Physical Therapy LLC

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Ultracare Physical Therapy LLC

  • Home Health Agency
  • Rossford, OH
  • NPI 1275559601

  Sold to, 2021-07-12

  CMS change of ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ultracare Physical Therapy LLC

  • Home Health Agency
  • Rossford, OH
  • NPI 1275559601
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ajayaghosh M. Krishnan, PHYSICAL THERAPY

  • Physical Therapist
  • Rossford, OH
  • NPI 1801814264
  NPD Authorized official
• Josh Krishnan

  • Physical Therapy Assistant
  • Rossford, OH
  • NPI 1396322137
  NPD

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1497055305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 SCHREIER RD STE A",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601443",
            "telephone_number": "419-578-7360",
            "fax_number": "419-578-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 SCHREIER RD STE A",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601443",
            "telephone_number": "419-578-7360",
            "fax_number": "419-578-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRACARE PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ULTRACARE PHYSICAL THERAPY LLC",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "AJAYAGHOSH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-578-7360",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059807",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AmeriCare Home Health of Fremont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOME HEALTH OF FREMONT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Health of Fremont, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Home Health of Fremont, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nichole Turner
• Shelby Deanne Turvey, CNP
• Karen Lynn Tyndall, R.D.L.D.
• Brandi Lyn Tyson
• Ultracare Physical Therapy LLC
• Chelsey Upshaw
• Elizabeth Urrutia
• Nicole L Vollweiler, RPH
• Paul Von Der Embse
• Cameryn Paige Warncke

• Home Health Agency in Rossford, OH
• Providers in Rossford, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.