Individual provider Active NPI

Jose Bacolod Jr., RPT

  • Physical Therapist
  • Saddle Brook, NJ
National Provider Identifier
1972558260
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01062200 Issued in NJ
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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 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

Enrollment IDStateProvider typePAC IDDetails
I20060505000566 NJ Practitioner - Physical Therapist in Private Practice 3678584638 Reassigns benefits to 4 organizations

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
Exemplary Home Therapy Services LLCGroup PAC ID 0840658084, 20 clinicians

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

OrganizationSpecialtyStatusNew patients
Topnotch Therapy Services LLC Physical Therapist CurrentSince Oct 14, 2020 Accepting new patients
Exemplary Home Therapy Services LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Visiting Therapy Services LLC Physical Therapist CurrentSince Jan 1, 2013 Accepting new patients
Eon Therapy Services LLC Physical Therapist CurrentSince Sep 1, 2016 Accepting new patients
All Care Physical Therapy and Sports Medicine Corp Physical Therapist CurrentSince Sep 29, 2013 Accepting new patients
Premier Health Center, P.C. Physical Therapist PastSince Jan 26, 2015 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.

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.

Verify at the official NPI Registry.