Lifeworks Unilimited Pediatric Therapy Services, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6431 Issued in NC

Legal business name

LIFEWORKS UNILIMITED PEDIATRIC THERAPY SERVICES, LLC

Practice address

1009 Flameleaf CT
Lewisville, NC 27023-8611

Phone

(336) 946-6313

Fax

(336) 776-0099

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Marie Adelfa Nunez, COTA/L

Title

Owner

Phone

(786) 217-7544

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Lifeworks Unlimited PTS, LLC Other name

Practitioners 1

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

• Marie Adelfa Fuller Zurenda, COTA/L

  • Occupational Therapy Assistant
  • Lewisville, NC
  • NPI 1215344023
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1972964708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 FLAMELEAF CT",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270238611",
            "telephone_number": "336-946-6313",
            "fax_number": "336-776-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 FLAMELEAF CT",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270238611",
            "telephone_number": "336-946-6313",
            "fax_number": "336-776-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS UNILIMITED PEDIATRIC THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ADELFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-217-7544",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "9318",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P15179",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5565",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6431",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "6431",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NC",
            "license": "6431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00541818",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeworks Unlimited PTS, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pediatric Occupational Therapist in Lewisville, NC
• Providers in Lewisville, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.