Home Base Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01192300 Issued in NJ

Legal business name

HOME BASE PHYSICAL THERAPY LLC

Practice address

15 Wisteria Ter
Morristown, NJ 07960-3735

Phone

(609) 706-9964

NPI assigned

Aug 3, 2015

Last updated

Sep 1, 2016By 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

Mr. Michael Dilella, PTNPI 1679650782

Title

Physical Therapist

Phone

(609) 706-9964

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• Michael Frank Dilella, MSPT

  • Physical Therapist
  • Morristown, NJ
  • NPI 1679650782
  Medicare reassignment Authorized official
• Rachael A. Harding, PT, DPT

  • Physical Therapist
  • Dumfries, VA
  • NPI 1861990293

  NJ

  Medicare reassignment
• James Farley, DC, MS, BA

  • Chiropractor
  • Cedar Knolls, NJ
  • NPI 1336273473
  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1558747402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WISTERIA TER",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WISTERIA TER",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603735",
            "telephone_number": "609-706-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BASE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "DILELLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "609-706-9964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01192300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Holick, MS, RD
• Shannon M Holland, MSN
• Maryelizabeth Hollo, LPC
• Dana M Holmes, LAC
• Jonathan Holuka, DO
• Homeless Solutions, Inc.
• Homeless Solutions, Inc.
• Christian Hong, LCSW
• Linda S Hong, DO
• Walter Hong

• Physical Therapy Clinic/Center in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.