LIVE WELL PHYSICAL THERAPY, LLC (NPI# 1205997137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205997137 |
| Entity Type | Organization |
| Organization Name | LIVE WELL PHYSICAL THERAPY, LLC |
| Practice Address |
623 River Rd Suite 5 Fair Haven NJ 07704-3267 |
| Practice Telephone | 7328425522 |
| Practice Fax Number | 7328422711 |
| Mailing Telephone | 7328425522 |
| Mailing Fax Number | 7328422711 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CHRISTINE LIVINGSTON (OWNER) |
| Authorized Official Telephone | 7328425522 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437617974 | Live Well Physical Therapy, LLC | Physical Therapist | 114 Sylvan Dr, Pottstown, PA 19465-8325 | 2019-03-04 |
| Street Address |
623 RIVER RD SUITE 5 |
| City | FAIR HAVEN |
| State | NJ |
| Zip Code | 07704-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225113459 | Christine Livingston | Physical Therapist | 623 River Rd, Suite 5, Fair Haven, NJ 07704-3267 | 2006-10-26 |
| 1508310897 | Leslie Mader LLC | Social Worker | 623 River Rd, Suite 2g, Fair Haven, NJ 07704-3200 | 2016-08-04 |
| 1790164085 | Darlene Lewis-hilton | Counselor | 623 River Rd, Fair Haven, NJ 07704-3200 | 2015-05-20 |
| 1144563131 | Thomas B Magnus | Counselor | 623 River Rd, Suite 2g, Fair Haven, NJ 07704-3200 | 2013-03-28 |
| 1528302619 | Michelle Kerekes | Counselor | 623 River Rd, Fair Haven, NJ 07704-3200 | 2012-11-15 |
| 1699951210 | Matthew Levin | Psychiatry & Neurology | 623 River Rd, Suite 2r, Fair Haven, NJ 07704-3200 | 2008-01-14 |
| 1033278288 | Medtec Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 623 River Rd, Suite 1r, Fair Haven, NJ 07704-3267 | 2006-12-06 |
| 1457426728 | Kyra Astrid Becker | Social Worker | 623 River Rd, Fair Haven, NJ 07704 | 2006-11-22 |
| 1982779534 | Carol Lee Veizer | Counselor | 623 River Rd, Fair Haven, NJ 07704-3200 | 2006-11-21 |
| 1841363538 | John Glen Zappala | Physical Therapist | 623 River Rd, Suite 5, Fair Haven, NJ 07704-3267 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831211499 | Gregory Paul Mcdermott | Chiropractor | 561 River Rd, Fair Haven, NJ 07704 | 2007-04-04 |
| 1669502324 | Lawrence Clifford Randolph | Psychologist | 68 Forman St, Fair Haven, NJ 07704 | 2007-03-06 |
| 1679757447 | Kathleen A Vilardi | Psychologist | 68 Forman St, Fair Haven, NJ 07704 | 2007-12-28 |
| 1336344365 | Pilot Mcdermott Inc | Chiropractor | 561 River Rd, Fair Haven, NJ 07704 | 2007-06-19 |
| 1174645741 | Kathleen Pilot | Chiropractor | 561 River Rd, Fair Haven, NJ 07704 | 2007-04-04 |
| 1184703738 | Center for Cognitive Rehabilitation | Family Medicine | 403 River Rd, Fair Haven, NJ 07704 | 2006-11-03 |
| 1578857066 | Raymond Cogen | Internal Medicine | 72 Grange Ave, Fair Haven, NJ 07704-3004 | 2011-06-02 |
| 1629163456 | Michael Joseph Connolly | Dentist | 393a River Rd, Fair Haven, NJ 07704-3029 | 2006-10-04 |
| 1689656043 | John Paul Swidryk Sr. | Family Medicine | 403 River Rd, Fair Haven, NJ 07704-3029 | 2005-11-18 |
| 1942413802 | Paul Ferguson | Dentist | 479 River Rd, Fair Haven, NJ 07704-3031 | 2007-05-08 |
| Find all providers in zip 07704 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033404264 | Stephen Horney Physical Therapy LLC | Clinic/Center | 326 Hance Rd, Fair Haven, NJ 07704-3151 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | FAIR HAVEN |
| Zip Code | 07704 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.