AUTHENTIC PHYSICAL THERAPY LLC
NPI 1245125723
Clinic/Center - Physical Therapy in Elizabeth, NJ

Active since June 12, 2025
265 W GRAND ST, ELIZABETH, NJ 07202(201) 256-3623(201) 256-3632 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Authentic Physical Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTHENTIC PHYSICAL THERAPY LLC (NPI 1245125723) is a healthcare organization registered as a physical therapy in Elizabeth, New Jersey and active in the NPI registry since June 2025. The organization lists Tati B Harsono, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1245125723
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameAUTHENTIC PHYSICAL THERAPY LLC
Location Address265 W GRAND STElizabeth, NJ 07202-1205
Mailing Address265 W Grand StElizabeth, NJ 07202-1205 · (201) 256-3623 · Fax (201) 256-3632
Fax(201) 256-3632
Organization SubpartNo
Authorized OfficialTati B HarsonoPhysical Therapist · (201) 256-3623
Enumeration DateJune 12, 2025
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1245125723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
265 W GRAND ST, Elizabeth, NJ 07202

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Authentic Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Authentic Physical Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1407152622
500 BI COUNTY BLVD SUITE 210N
Farmingdale, NY 11735
(718) 264-1640
✔ Accepts Medicare42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Authentic Physical Therapy LLC's NPI number?

The NPI number for Authentic Physical Therapy LLC is 1245125723. It was assigned to this organization in the NPPES registry on June 12, 2025.

Where is Authentic Physical Therapy LLC located?

Authentic Physical Therapy LLC is located at 265 W Grand St, Elizabeth, NJ 07202. The listed phone number is (201) 256-3623.

What is Authentic Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Authentic Physical Therapy LLC enrolled in Medicare?

Yes. Authentic Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Authentic Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Authentic Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Authentic Physical Therapy LLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.