Organization Active NPI

Life in Motion Therapy LLC

  • Neurorehabilitation Occupational Therapist
  • Nazareth, PA
National Provider Identifier
1265284673
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
Legal business name
LIFE IN MOTION THERAPY LLC
Practice address
570 Ashwood Dr
Nazareth, PA 18064-8884
Phone
(610) 442-4126
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Jaclyn N Rinyu, MS, OTR/LNPI 1083039721
Title
Owner
Phone
(610) 442-4126

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)CodeLicenseStatePrimary
Neurorehabilitation Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XN1300X Primary

Addresses

Primary practice location

570 Ashwood Dr
Nazareth, PA 18064-8884

Mailing address

570 Ashwood Dr
Nazareth, PA 18064-8884
Phone (610) 442-4126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240410000012 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870931827 Receives reassigned benefits from 1 practitioner
Practice locations: Nazareth, PA

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1265284673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 ASHWOOD DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648884",
            "telephone_number": "610-442-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 ASHWOOD DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648884",
            "telephone_number": "610-442-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN MOTION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "RINYU",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-442-4126",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.