NPIMap

Organization Active NPI

At Home PT LLC

Doing business as At Home Physical Therapy

  • Physical Therapy Clinic/Center
  • Cliffside Park, NJ
National Provider Identifier
1821383712
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01254700 Issued in NJ
Legal business name
AT HOME PT LLC
Doing business as
At Home Physical Therapy
Practice address
93 Palisade Ave Apt 2D
Cliffside Park, NJ 07010-2043
Phone
(551) 486-6885
Fax
(201) 840-8482
NPI assigned
Jun 19, 2011
Last updated
Aug 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mrs. Julie Elaine Ulbrich, DPTNPI 1598954661
Title
Owner
Phone
(551) 486-6885

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 40QA01254700 NJ Primary

Addresses

Primary practice location

93 Palisade Ave Apt 2D
Cliffside Park, NJ 07010-2043

Mailing address

93 Palisade Ave Apt 2D
Cliffside Park, NJ 07010-2043
Phone (551) 486-6885

Other names 1

  • At Home Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111012000672 NJ Part B Supplier - Clinic/Group Practice 3375715584 Receives reassigned benefits from 1 practitioner
Practice locations: Leonia, NJ

National Provider Directory

National Provider Directory
Tax ID family
At Home Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1308441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1821383712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 PALISADE AVE APT 2D",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102043",
            "telephone_number": "551-486-6885",
            "fax_number": "201-840-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 PALISADE AVE APT 2D",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102043",
            "telephone_number": "551-486-6885",
            "fax_number": "201-840-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-19",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "ULBRICH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-486-6885",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01254700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.