Active NPI
Jose Bacolod Jr., RPT
- Physical Therapist
- Saddle Brook, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01062200
- Practice address
- 15 N Street Suite 106
Saddle Brook, NJ 07663-9999 - Phone
- (201) 250-8808
- Fax
- (201) 250-8809
- NPI assigned
- May 24, 2006
- Last updated
- Jun 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01062200 | NJ | Primary |
Addresses
Primary practice location
15 N Street Suite 106
Saddle Brook, NJ 07663-9999
Mailing address
15 N 5TH St Ste 106
Saddle Brook, NJ 07663-6156
Phone (201) 250-8808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1616 Hamilton St
Belleville, NJ 07109-5346
Phone (856) 506-6281
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topnotch Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Exemplary Home Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Visiting Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Eon Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| All Care Physical Therapy and Sports Medicine Corp | Physical Therapist | Current | Accepting new patients |
| Premier Health Center, P.C. | Physical Therapist | Past | Accepting new patients |
| Comprehensive Physical Therapy and Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
| Prospect Medical PC | Past | Accepting new patients | |
| Comprehensive Physical Therapy & Sports Medicine LLC | Past | Accepting new patients |
Locations
271 US Highway 46
Ste H111
Fairfield, NJ 07004
Phone (877) 887-3574
88 Main St
#203
Little Falls, NJ 07424
Phone (877) 887-3574
15 N 5th St
Ste 106
Saddle Brook, NJ 07663
Phone (201) 250-8808
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba HomeCare Perks
- Home Health Agency
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- NPI 1578852257
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- Physical Therapy Clinic/Center
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- NPI 1639496102
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- Physical Therapy Clinic/Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1972558260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N 5TH ST STE 106",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076636156",
"telephone_number": "201-250-8808",
"fax_number": "201-250-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N STREET SUITE 106",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076639999",
"telephone_number": "201-250-8808",
"fax_number": "201-250-8809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACOLOD",
"first_name": "JOSE",
"name_suffix": "Jr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01062200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saddle Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.