Active NPI
Freedom Pediatric Therapy LLC
- Early Intervention Provider Agency
- Lakewood, NJ
National Provider Identifier
1225376148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- FREEDOM PEDIATRIC THERAPY LLC
- Practice address
- 310 2ND St
Lakewood, NJ 08701-3351 - Phone
- (732) 367-4569
- Fax
- (732) 367-3253
- NPI assigned
- Jan 28, 2013
- 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
- Ms. Sheva S Reisner
- Title
- Administrator
- Phone
- (732) 367-4569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
310 2ND St
Lakewood, NJ 08701-3351
Mailing address
310 2ND St
Lakewood, NJ 08701-3351
Phone (732) 367-4569
National Provider Directory
National Provider DirectoryLocations
310 2nd St
Lakewood, NJ 08701
Phone (732) 232-4828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359331200000",
"number": "1225376148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 2ND ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013351",
"telephone_number": "732-367-4569",
"fax_number": "732-367-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 2ND ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013351",
"telephone_number": "732-367-4569",
"fax_number": "732-367-3253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A",
"authorized_official_last_name": "REISNER",
"authorized_official_first_name": "SHEVA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "732-367-4569",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.