Ikpt, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IKPT, LLC

Doing business as

MyPTComesToMe

Practice address

24 W Railroad Ave # 308
Tenafly, NJ 07670-1735

Phone

(201) 750-6708

Fax

(201) 750-6442

NPI assigned

Oct 15, 2020

Last updated

Oct 15, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

IKPT, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Ilena Kipnis, DPTNPI 1164501995

Title

Owner

Phone

(120) 175-0670

Specialties & licenses 1

Addresses

Other names 1

• MyPTComesToMe Doing business as

Part of

Ikpt LLC

Locations

Practitioners 1

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.

• Ilena Kipnis, PT

  • Physical Therapist
  • Cliffside Park, NJ
  • NPI 1164501995
  NPD Authorized official

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1710585377",
    "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": "24 W RAILROAD AVE # 308",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701735",
            "telephone_number": "201-750-6708",
            "fax_number": "201-750-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKPT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IKPT, LLC",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyPTComesToMe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.