Livewell Rehab and Fitness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4238310 Issued in PA

Legal business name

LIVEWELL REHAB AND FITNESS, LLC

Practice address

231 N Latches LN
Merion Station, PA 19066-1726

Phone

(610) 667-0695

NPI assigned

Jan 28, 2014

Organization subpart

No

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

Authorized official

Name

Dalia K Amar, PTNPI 1609035278

Title

Owner

Phone

(610) 667-0695

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Dalia K Amar, M.S.P.T.

  • Physical Therapist
  • Bryn Mawr, PA
  • NPI 1609035278
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1467875401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N LATCHES LN",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N LATCHES LN",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661726",
            "telephone_number": "610-667-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL REHAB AND FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "AMAR",
        "authorized_official_first_name": "DALIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-667-0695",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "4238310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Merion Station, PA
• Providers in Merion Station, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.