Individual provider Active NPI

Sheyenne Lewis, OTD

  • Occupational Therapist
  • Cranford, NJ
National Provider Identifier
1114753563
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01153400 Issued in NJ
Practice address
45 South Ave W Ste 101
Cranford, NJ 07016-2686
Phone
(908) 709-7300
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC019654 PA
Occupational Therapist 225X00000X 46TR01153400 NJ Primary

Addresses

Primary practice location

45 South Ave W Ste 101
Cranford, NJ 07016-2686

Mailing address

606 Freeman St
Orange, NJ 07050-1363
Phone (610) 568-0806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023001138 NJ Practitioner - Occupational Therapist in Private Practice 6507399045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Home Therapy LLCGroup PAC ID 1254746340, 50 clinicians

Practice addresses (Care Compare)

70 S Orange Ave
Suite 220
Livingston, NJ 07039-4920
Phone (917) 751-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01153400NJMDOccupational Therapist
OC019654PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Home Therapy LLC Occupational Therapist CurrentSince Jun 2, 2025 Accepting new patients
Prosynergy Physical Therapy LLC CurrentSince Sep 11, 2024 Accepting new patients

Locations

1033 Clifton Ave
Ste 207
Clifton, NJ 07013
Phone (201) 906-2960

45 South Ave W
Ste 101
Cranford, NJ 07016
Phone (908) 709-7300

45 South Ave W
#101
Cranford, NJ 07016
Phone (908) 583-4391

70 S Orange Ave
Ste 220
Livingston, NJ 07039
Phone (973) 626-2350

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1114753563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 FREEMAN ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501363",
            "telephone_number": "610-568-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SOUTH AVE W STE 101",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162686",
            "telephone_number": "908-709-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHEYENNE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC019654",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01153400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.