Organization Active NPI

Ikpt, LLC

Doing business as MyPTComesToMe

  • Physical Therapist
  • Demarest, NJ
National Provider Identifier
1619577889
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IKPT, LLC
Doing business as
MyPTComesToMe
Practice address
8 Lauren Pond CT
Demarest, NJ 07627-2500
Phone
(120) 168-1751
Fax
(201) 750-6442
NPI assigned
Oct 27, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
IKPT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Dr. Ilena Kipnis, DPT
Title
Owner
Phone
(120) 175-0670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

8 Lauren Pond CT
Demarest, NJ 07627-2500

Mailing address

24 W Railroad Ave # 308
Tenafly, NJ 07670-1735
Phone (201) 750-6708

Other names 1

  • MyPTComesToMe Doing business as

National Provider Directory

National Provider Directory
Part of
Ikpt LLC

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1619577889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W RAILROAD AVE # 308",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701735",
            "telephone_number": "201-750-6708",
            "fax_number": "201-750-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAUREN POND CT",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076272500",
            "telephone_number": "120-168-1751",
            "fax_number": "201-750-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKPT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IKPT, LLC",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "KIPNIS",
        "authorized_official_first_name": "ILENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "120-175-0670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyPTComesToMe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Demarest, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.