Life Fun Therapy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFE FUN THERAPY

Practice address

1409 Endingo Ave
Williamstown, NJ 08094-8762

Phone

(609) 970-3354

NPI assigned

May 7, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Joan Mora, OT

Title

Owner

Phone

(609) 970-3354

Specialties & licenses 3

Addresses

Practitioners 1

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

• Michelle Beebe, OT

  • Occupational Therapist
  • Cherry Hill, NJ
  • NPI 1477913457
  NPD

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1356925176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 ENDINGO AVE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948762",
            "telephone_number": "609-970-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 ENDINGO AVE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948762",
            "telephone_number": "609-970-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FUN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-970-3354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Lederman
• Lee Care Transportation
• Danielle Lewis-Williams I, MS, OTR
• Kyle M Lewis, PHARMD.
• Harry Phillip Lieberman
• Lifemap Diagnostic LLC
• Blanca Lira, LPN
• LL Medical Clinic NJ PC
• Steven Michael Lowry, D.O.
• Jessica Luczny, PHARMD

• Clinic/Center in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.