Origin LLC

Origin LLC is a healthcare organization registered as Multi-Specialty Clinic/Center in Willingboro, NJ, holding Type 2 (organization) NPI 1124691647 since 2021. The authorized official on file is Leez-Betina Petit, Founder.

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NPI	1124691647
Entity type	Organization (Type 2)
Legal business name	Origin LLC
Practice address	14 GALLAWAY LN, Willingboro, NJ, 08046
Phone	9084945150
Enumeration date	2021-07-22
Last updated in NPPES	2021-07-22

Authorized official

Name	Leez-Betina Petit
Title	Founder
Phone	9084945150

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QM1300X	Multi-Specialty Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Origin LLC
NPI: 1124691647
Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center)
Address: 14 GALLAWAY LN, Willingboro, NJ, 08046

Providers at this address

NPI	Name	Type	Specialty	Location
1770049249	Leez-Betina Petit	Individual	Chiropractor	Willingboro, NJ

Verify this record

Cross-check NPI 1124691647 against the authoritative CMS record: view Origin LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-07-22. Verify at npiregistry.cms.hhs.gov.

Where is Origin LLC located?

The practice location on file with NPPES is in Willingboro, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-07-22.