Lifestyles Therapy & Wellness Center Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1352 Issued in ID

Legal business name

LIFESTYLES THERAPY & WELLNESS CENTER INC.

Practice address

276 Eastland Dr N
Twin Falls, ID 83301-4458

Phone

(208) 735-8563

Fax

(208) 735-8564

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

M. Andrew Mix, RPTNPI 1346205937

Title

President

Phone

(208) 735-8563

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 6

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

• M Andrew Mix, RPT

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1346205937
  Medicare reassignment Care Compare group NPD Authorized official
• Kristen Topliff, DPT

  • Physical Therapist
  • Moscow, ID
  • NPI 1245740638
  Medicare reassignment Care Compare group NPD
• Ivan M Hardcastle, MOT

  • Occupational Therapist
  • Twin Falls, ID
  • NPI 1881816304
  NPD
• David Franklin Berry, MSPT

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1821276858
  NPD (past)
• Heidi Coillot, PTA

  • Physical Therapy Assistant
  • Twin Falls, ID
  • NPI 1467010272
  NPD (past)
• Bradley C Williams, PT

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1841255015
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1013189596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 EASTLAND DR N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014458",
            "telephone_number": "208-735-8563",
            "fax_number": "208-735-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 EASTLAND DR N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014458",
            "telephone_number": "208-735-8563",
            "fax_number": "208-735-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLES THERAPY & WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "MIX",
        "authorized_official_first_name": "M. ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-735-8563",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Connections LLC
• Life in Progress LLC
• Lifespan Primary Care LLC
• Lifestyle Changes Counseling
• Lifestyle Changes Counseling, Inc
• Brandon Lee Limas, DO
• Lincare Inc.
• Patricia Lincoln, CST
• Stephen Ray Lincoln, DDS
• Corey Alan Lindberg, D.O.

• Physical Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.