Organization Active NPI

Breathe Life Physical Therapy & Wellness

  • Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1629569942
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Dec 10, 2024

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.