Organization Active NPI

Life Wellness Occupational Therapy

  • Occupational Therapist
  • Voorhees, NJ
National Provider Identifier
1508480476
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LIFE WELLNESS OCCUPATIONAL THERAPY
Practice address
2223 Berwyn CT
Voorhees, NJ 08043-4667
Phone
(215) 518-8585
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Christa M Spence, OTR/LNPI 1992106801
Title
Occupational Therapist
Phone
(215) 518-8585

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2223 Berwyn CT
Voorhees, NJ 08043-4667

Mailing address

2223 Berwyn CT
Voorhees, NJ 08043-4667
Phone (215) 518-8585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Christa@OTWellness.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200825003716 NJ Part B Supplier - Clinic/Group Practice 4284051038 Receives reassigned benefits from 2 practitioners
Practice locations: Voorhees, NJ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: christa@otwellness.com

Practitioners & affiliated clinicians

Practitioners 3

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": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1508480476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 BERWYN CT",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434667",
            "telephone_number": "215-518-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 BERWYN CT",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434667",
            "telephone_number": "215-518-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WELLNESS OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "215-518-8585",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Christa@OTWellness.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2223 Berwyn Ct",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.