Live Well Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LIVE WELL PHYSICAL THERAPY, LLC

Practice address

623 River Rd
Suite 5
Fair Haven, NJ 07704-3267

Phone

(732) 842-5522

Fax

(732) 842-2711

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Christine Livingston, P.T.NPI 1225113459

Title

Owner

Phone

(732) 842-5522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Glen Zappala, PHYSICAL THERAPIST

  • Physical Therapist
  • Fair Haven, NJ
  • NPI 1841363538
  Medicare reassignment NPD
• Christine Livingston, MSPT

  • Physical Therapist
  • Fair Haven, NJ
  • NPI 1225113459
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205997137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 RIVER RD",
            "address_2": "SUITE 5",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043267",
            "telephone_number": "732-842-5522",
            "fax_number": "732-842-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 RIVER RD",
            "address_2": "SUITE 5",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043267",
            "telephone_number": "732-842-5522",
            "fax_number": "732-842-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-842-5522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J Kuch, DDS
• Alison P Kucich
• Brian Edward Lawless, D.C.
• Leslie Mader LLC
• Darlene Lewis-Hilton, L.P.C.
• Christine Livingston, MSPT
• Robert William Lopresti, PH.D.
• Jessica Lupon, LPC
• Jordon Lupon
• Sue Massie, ND

• Physical Therapy Clinic/Center in Fair Haven, NJ
• Providers in Fair Haven, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.