Active NPI
Breathe Life Physical Therapy & Wellness
- Physical Therapist
- Cherry Hill, NJ
National Provider Identifier
1629569942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BREATHE LIFE PHYSICAL THERAPY & WELLNESS
- Practice address
- 1930 Marlton Pike E Ste I-45
Cherry Hill, NJ 08003-2150 - Phone
- (856) 210-3517
- NPI assigned
- May 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amanda Heritage, PT, DPT
- Title
- Physical Therapy
- Phone
- (856) 210-3517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1930 Marlton Pike E Ste I-45
Cherry Hill, NJ 08003-2150
Mailing address
91 Stokes Rd
Shamong, NJ 08088-9449
Phone (856) 210-3517
Other practice location 1
987 Haddon Ave Fl 1
Collingswood, NJ 08108-2048
Phone (856) 210-3517
National Provider Directory
National Provider DirectoryLocations
1930 Marlton Pike E
Ste I45
Cherry Hill, NJ 08003
Phone (856) 210-3517
987 Haddon Ave
#1
Collingswood, NJ 08108
Phone (856) 210-3517
915 Haddon Ave
Ste 1
Collingswood, NJ 08108
Phone (609) 573-3314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1629569942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 STOKES RD",
"city": "SHAMONG",
"state": "NJ",
"postal_code": "080889449",
"telephone_number": "856-210-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 MARLTON PIKE E STE I-45",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032150",
"telephone_number": "856-210-3517"
}
],
"practiceLocations": [
{
"address_1": "987 Haddon Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Collingswood",
"state": "NJ",
"postal_code": "081082048",
"country_code": "US",
"telephone_number": "856-210-3517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BREATHE LIFE PHYSICAL THERAPY & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-22",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "HERITAGE",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "PHYSICAL THERAPY",
"authorized_official_telephone_number": "856-210-3517",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.