Lauren Condoleon, M.S.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00595800 Issued in NJ

Practice address

233 Hawthorne LN
Barnegat, NJ 08005-5641

Phone

(609) 618-1378

Fax

(855) 248-4039

NPI assigned

Aug 26, 2015

Last updated

Feb 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Bentivegna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lauren Condoleon Ms Otr L LLC

  dba Limitless Victory Therapy Services

  • Occupational Therapist
  • Manahawkin, NJ
  • NPI 1386170868
  Authorized official Same address or phone

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1851768840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 HAWTHORNE LN",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080055641",
            "telephone_number": "609-618-1378",
            "fax_number": "855-248-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 HAWTHORNE LN",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080055641",
            "telephone_number": "609-618-1378",
            "fax_number": "855-248-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDOLEON",
        "first_name": "LAUREN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00595800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BENTIVEGNA",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Barnegat, NJ
• Providers in Barnegat, 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 Feb 16, 2022; 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.