Organization Active NPI

Activecare Ultimate Physical Therapy

Doing business as ActiveCare Ultimate Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Far Hills, NJ
National Provider Identifier
1538862552
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACTIVECARE ULTIMATE PHYSICAL THERAPY
Doing business as
ActiveCare Ultimate Physical Therapy LLC
Practice address
27 US Highway 202 Ste 5
Far Hills, NJ 07931-7001
Phone
(908) 375-8881
Fax
(908) 375-8890
NPI assigned
Mar 27, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mr. Rik Couwenberg, PTNPI 1578552345
Title
Owner/ Physical Therapist
Phone
(973) 366-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

27 US Highway 202 Ste 5
Far Hills, NJ 07931-7001

Mailing address

600 Mount Pleasant Ave Ste F
Dover, NJ 07801-1621
Phone (973) 891-1080

Other names 1

  • ActiveCare Ultimate Physical Therapy LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231127001895 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577911825 Receives reassigned benefits from 2 practitioners
Practice locations: Far Hills, NJ

National Provider Directory

National Provider Directory

Locations

27 US Highway 202
Ste 5
Far Hills, NJ 07931
Phone (908) 375-8881

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1538862552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MOUNT PLEASANT AVE STE F",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078011621",
            "telephone_number": "973-891-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 US HIGHWAY 202 STE 5",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079317001",
            "telephone_number": "908-375-8881",
            "fax_number": "908-375-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVECARE ULTIMATE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "COUWENBERG",
        "authorized_official_first_name": "RIK",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-366-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActiveCare Ultimate Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Far Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.