DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FUNCTIONAL HOME THERAPY SERVICES LLC

MEDICARE: FUNCTIONAL HOME THERAPY SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053085092
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUNCTIONAL HOME THERAPY SERVICES LLC
Provider Business Mailing Address
First Line : 1616 HAMILTON ST
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-5346
Country : US
Telephone Number : 856-506-6281
Fax Number :
Provider Business Practice Location Address
First Line : 1616 HAMILTON ST
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-5346
Country : US
Telephone Number : 856-506-6281
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : MR. JOSE NENE BACOLOD JR.
Credential : DPT
Telephone Number : 856-506-6281
Provider Enumeration Date : 08/03/2021
Last Update Date : 08/30/2021

Similar Medicare Providers

1710849419 — MR. MARLOU ZANORIA
Practice Location Address:
1616 HAMILTON ST
BELLEVILLE, NJ
07109-5346
Practice Phone: 856-506-6281
Practice Fax: 862-762-2998
1942539267 — MR. EUGENE RYAN REYES LANDINGIN PT
Practice Location Address:
1616 HAMILTON ST
BELLEVILLE, NJ
07109-5346
Practice Phone: 630-398-1430
Practice Fax: 205-520-0455
1912575465 — ERIKA VALLILA LPC
Practice Location Address:
1601 HAMILTON ST
BELLEVILLE, NJ
07109-5346
Practice Phone: 201-788-1371
Practice Fax:
1235823311 — EXEMPLARY HOME THERAPY SERVICES LLC
Practice Location Address:
1616 HAMILTON ST
BELLEVILLE, NJ
07109-5346
Practice Phone: 856-506-6281
Practice Fax: 862-762-2998
1245916477 — ARNIL JUNE C ROLDAN COTA
Practice Location Address:
1616 HAMILTON ST
BELLEVILLE, NJ
07109-5346
Practice Phone: 856-506-6281
Practice Fax:
1033981386 — SHIVANI A BHAGWAT OTR
Practice Location Address:
1616 HAMILTON ST
BELLEVILLE, NJ
07109-5346
Practice Phone: 856-506-6281
Practice Fax:

Directions to “FUNCTIONAL HOME THERAPY SERVICES LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.