Individual provider Active NPI

Cyrus Ipaz

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1831568195
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039425 Issued in NY
Practice address
385 Manila Ave
Jersey City, NJ 07302-2566
Phone
(201) 204-6880
NPI assigned
Sep 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039425 NY Primary

Addresses

Primary practice location

385 Manila Ave
Jersey City, NJ 07302-2566

Mailing address

385 Manila Ave
Jersey City, NJ 07302-2566
Phone (201) 204-6880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606001578 NY Practitioner - Physical Therapist in Private Practice 9335404722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Therapy PT Physical and Occupational Therapy LLCGroup PAC ID 8022268747, 6 clinicians

Practice addresses (Care Compare)

817 E 180TH St
Bronx, NY 10460-1305
Phone (718) 355-9652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039425NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Therapy PT Physical and Occupational Therapy LLC CurrentSince May 7, 2018 Accepting new patients

Locations

817 E 180th St
Bronx, NY 10460
Phone (718) 220-8300

799 Morris Park Ave
Bronx, NY 10462
Phone (718) 684-6300

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1831568195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MANILA AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022566",
            "telephone_number": "201-204-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MANILA AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022566",
            "telephone_number": "201-204-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPAZ",
        "first_name": "CYRUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.