Life PT Professional Corporation

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01464000 Issued in NJ

Legal business name

LIFE PT PROFESSIONAL CORPORATION

Practice address

525 Route 70 Ste A6
Lakewood, NJ 08701-5847

Phone

(732) 534-4794

NPI assigned

May 14, 2017

Last updated

May 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chaya Englard, DPT

Title

Owner

Phone

(732) 534-4794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494720000000",
    "number": "1457888091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 70 STE A6",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 70 STE A6",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015847",
            "telephone_number": "732-534-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PT PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-14",
        "last_updated": "2017-05-14",
        "status": "A",
        "authorized_official_last_name": "ENGLARD",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-534-4794",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01464000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2017; 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.