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Functional Home Therapy Services LLC

NPI 1053085092ActiveOrganization· Physical Therapist· Belleville, NJ

Physical Therapist in Belleville, New Jersey, registered in NPPES in August 2021. The authorized official on file is Jose Nene Bacolod, DPT, Physical Therapist.

Overview

NPI1053085092
StatusActive
Entity typeOrganization
NPI issuedAug 3, 2021
Last updated in NPPESAug 30, 2021
Certified by providerAug 30, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in Belleville

All 35 physical therapists in Belleville · All physical therapists in New Jersey