Home Base Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

HOME BASE THERAPY LLC

Doing business as

Home Base Rehab
Home Base Therapy LLC

Practice address

194 Wilder St
Hillside, NJ 07205-3128

Phone

(845) 517-7802

NPI assigned

Jul 11, 2022

Last updated

Sep 9, 2022By 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

Nava Polatsek, OTR/LNPI 1669925293

Title

Managing Member

Phone

(845) 517-7802

Specialties & licenses 3

Addresses

Other names 2

• Home Base Rehab Doing business as
• Home Base Therapy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Nava Polatsek

  • Occupational Therapist
  • Little Falls, NJ
  • NPI 1669925293
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1952035545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 WILDER ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072053128",
            "telephone_number": "845-517-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 WILDER ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072053128",
            "telephone_number": "845-517-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BASE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "POLATSEK",
        "authorized_official_first_name": "NAVA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "845-517-7802",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Base Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Base Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Vincent Harrison, FNP
• Egypt Haslam
• Hillside Family Practice PC
• Hillside Physical Therapy
• Hillside TWP. Publlic School
• Emmanuel Igho, LPN
• Inserra Supermarkets Inc (Shoprite Pharmacy)
• Iy Nursing Agency (KP Homecare Services LLC)
• Jay P Jacobson, D.C.
• Stephanie Jasmin, LMSW

• Occupational Therapist in Hillside, NJ
• Providers in Hillside, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.