Active NPI
Strive2Livewell, LLC
Doing business as Strive2LiveWell Physical Therapy & Wellness
- Physical Therapy Clinic/Center
- Shelton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- STRIVE2LIVEWELL, LLC
- Doing business as
- Strive2LiveWell Physical Therapy & Wellness
- Practice address
- 216 Leavenworth Rd
Shelton, CT 06484-1809 - Phone
- (732) 618-7010
- NPI assigned
- Jan 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Bennett Myerson, PT, DPT, OCS
- Title
- Founder/Physical Therapist
- Phone
- (732) 618-7010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
216 Leavenworth Rd
Shelton, CT 06484-1809
Mailing address
11 Pequot CT
Monroe, CT 06468-1296
Phone (732) 618-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007907 | Other | CT | PHYSICAL THERAPY LICENSE |
Other names 1
- Strive2LiveWell Physical Therapy & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
220 Leavenworth Rd
Shelton, CT 06484
Phone (203) 803-4465
216 Leavenworth Rd
Shelton, CT 06484
Phone (203) 803-4465
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Trumbull, CT
- NPI 1417069485
-
- Physical Therapist
- Shelton, CT
- NPI 1760110167
-
- Physical Therapist
- Shelton, CT
- NPI 1447080635
-
- Physical Therapist
- Orange, CT
- NPI 1871076315
-
- Physical Therapist
- Shelton, CT
- NPI 1023937729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611878400000",
"number": "1073104303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PEQUOT CT",
"city": "MONROE",
"state": "CT",
"postal_code": "064681296",
"telephone_number": "732-618-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 LEAVENWORTH RD",
"city": "SHELTON",
"state": "CT",
"postal_code": "064841809",
"telephone_number": "732-618-7010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRIVE2LIVEWELL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-28",
"status": "A",
"authorized_official_last_name": "MYERSON",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "BENNETT",
"authorized_official_title_or_position": "FOUNDER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "732-618-7010",
"authorized_official_credential": "PT, DPT, OCS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "007907",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Strive2LiveWell Physical Therapy & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.