Functional Freedom Mobile Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FUNCTIONAL FREEDOM MOBILE THERAPY LLC

Practice address

21 Maple Ave
East Hanover, NJ 07936-1547

Phone

(973) 941-8205

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly Camerlengo

Title

Owner

Phone

(973) 941-8205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1801413604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAPLE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361547",
            "telephone_number": "973-941-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAPLE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361547",
            "telephone_number": "973-941-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL FREEDOM MOBILE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "CAMERLENGO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-941-8205"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avi P. Fine, L.AC.
• Bruce Howard Francis, M.D.
• Joseph Frasciello, ATC
• Patricia Frumento
• Brendan Fu, OD
• Fuse Medical PC
• Chirag A Gandhi, DPT
• Jinesh Gandhi
• Ma Luisa Alviz Gangcuangco, OTR/L
• Emily Gencarelli, MA

• Occupational Therapist in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.