Organization Active NPI

Fun Time Therapy LLC

  • Speech-Language Pathologist
  • East Windsor, NJ
National Provider Identifier
1811620032
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FUN TIME THERAPY LLC
Practice address
569 Abbington Dr
East Windsor, NJ 08520-5800
Phone
(908) 692-2500
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Authorized official

Name
Michelle BottiNPI 1275019879
Title
SLP
Phone
(609) 379-3043

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
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

569 Abbington Dr
East Windsor, NJ 08520-5800

Mailing address

569 Abbington Dr Ste H
East Windsor, NJ 08520-5800
Phone (609) 379-3043

Other practice location 1

3 Wright Dr
Chesterfield, NJ 08515-9727
Phone (609) 379-3043

Other identifiers 1

IdentifierTypeStateIssuer
41YS00760400OtherNJASHA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711238400000",
    "number": "1811620032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 ABBINGTON DR STE H",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085205800",
            "telephone_number": "609-379-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 ABBINGTON DR",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085205800",
            "telephone_number": "908-692-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Wright Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "NJ",
            "postal_code": "085159727",
            "country_code": "US",
            "telephone_number": "609-379-3043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUN TIME THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "BOTTI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "609-379-3043"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "41YS00760400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.