Kimberly Ellsworth, PT, DPT in Waldwick, NJ - Medicare Physical Therapy Provider

Kimberly Ellsworth, PT, DPT is a medicare enrolled "Physical Therapist" provider in Waldwick, New Jersey. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Ivyrehab Network Inc and her current practice location is 136 Hopper Ave, Waldwick, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 493-7770.

Kimberly Ellsworth is licensed to practice in New Jersey (license number 40QA02056000) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659039485.

Contact Information

	Kimberly Ellsworth, PT, DPT
	136 Hopper Ave, Waldwick, NJ 07463-1500
	(201) 493-7770
	(201) 493-7780

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Ellsworth
Gender	Female
Speciality	Physical Therapy
Experience	3 Years
Location	136 Hopper Ave, Waldwick, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Ellsworth graduated from medical school in 2021

NPI Data:

NPI Number: 1659039485
Provider Enumeration Date: 11/29/2021
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 3971998089
Enrollment ID: I20220328000034

Medical Identifiers

Medical identifiers for Kimberly Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659039485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA02056000 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivyrehab Network Inc	3476539776	463

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Ellsworth allows following entities to bill medicare on her behalf.

Provider Name	Sports Medicine Center Of Bergen Pa
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1609990019 PECOS PAC ID: 6507840550 Enrollment ID: O20040616001004

Provider Name	Ivyrehab Network Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Ellsworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Ellsworth, PT, DPT 605 Main St, Hackensack, NJ 07601-5914 Ph: (201) 488-0488	Kimberly Ellsworth, PT, DPT 136 Hopper Ave, Waldwick, NJ 07463-1500 Ph: (201) 493-7770

Reviews and Comments

Physical Therapist in Waldwick, NJ

Richard E Guter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 Hopper Ave, Waldwick, NJ 07463 Phone: 201-493-7770
Excel Orthopedic Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 Hopper Ave., Waldwick, NJ 07463 Phone: 201-488-0488
Raymond M Younghans, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 Hopper Avenue, Waldwick, NJ 07463 Phone: 201-493-7770 Fax: 845-858-9998
Mr. Eric Mendoza Flores, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 83 Franklin Tpke, Waldwick, NJ 07463 Phone: 201-445-1079 Fax: 201-445-1315
R.m. Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 171 Franklin Tpke, Waldwick, NJ 07463 Phone: 201-689-0117 Fax: 201-689-0118
Professional Occupational & Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 168 Franklin Tpke, Suite 103b, Waldwick, NJ 07463 Phone: 201-493-7440 Fax: 201-493-7445
Anthony Giannella, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 North St Ste 1b, Waldwick, NJ 07463 Phone: 201-857-8685

Kimberly Ellsworth, PT, DPT - Medicare Physical Therapist in Waldwick, NJ