Resurrected Living LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

RESURRECTED LIVING LLC

Practice address

180 Talmadge Rd
Edison, NJ 08817-2860

Phone

(732) 882-6475

NPI assigned

Aug 16, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie Poma, OTR/LNPI 1467176297

Title

Occupational Therapist

Phone

(732) 882-6475

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Poma

  • Occupational Therapist
  • Edison, NJ
  • NPI 1467176297
  NPD Authorized official

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1912780537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 TALMADGE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TALMADGE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172860",
            "telephone_number": "732-882-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "POMA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "732-882-6475",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resilient RX Physical Therapy
• Resnick & Rosenfeld
• Stephen Neil Resnick, DMD
• Steven Resnick
• Respiratory Specialities Inc
• Kimberly Reustle
• Kiara Yssel Revilla
• Revive Physical Therapy and Wellness Center
• Jonathan Villaroman Reyes, M.D.
• Ruby Carina Reyes, M.D.

• Occupational Therapist in Edison, NJ
• Providers in Edison, 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 Aug 16, 2023; 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.