Organization Active NPI

Nurtured Pelvic Health & Wellness

  • Health Service Clinic/Center
  • Lake Hiawatha, NJ
National Provider Identifier
1255106100
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NURTURED PELVIC HEALTH & WELLNESS
Practice address
44 Pawnee Ave
Lake Hiawatha, NJ 07034-3010
Phone
(201) 213-5202
NPI assigned
Nov 21, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Mrs. Rachel Lee Kelly, OTR
Title
Owner/ Occupational Therapist
Phone
(201) 213-5202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

44 Pawnee Ave
Lake Hiawatha, NJ 07034-3010

Mailing address

44 Pawnee Ave
Lake Hiawatha, NJ 07034-3010
Phone (201) 213-5202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1255106100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PAWNEE AVE",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070343010",
            "telephone_number": "201-213-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PAWNEE AVE",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070343010",
            "telephone_number": "201-213-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURED PELVIC HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "201-213-5202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hiawatha, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.