NPIMap

Organization Active NPI

Lifespan Rehabilitation and Wellness, LLC

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1013456821
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011190 Issued in GA
Legal business name
LIFESPAN REHABILITATION AND WELLNESS, LLC
Practice address
37 W Fairmont Ave
Suite 323
Savannah, GA 31406-3455
Phone
(912) 414-1127
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Sarah HarperNPI 1598199044
Title
Owner
Phone
(912) 414-1127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT011190 GA Primary

Addresses

Primary practice location

37 W Fairmont Ave
Suite 323
Savannah, GA 31406-3455

Mailing address

143 Summer Winds Dr
Savannah, GA 31410-2929
Phone (912) 414-1127

Other identifiers 1

IdentifierTypeStateIssuer
003137626MedicaidGA

National Provider Directory

National Provider Directory

Locations

37 W Fairmont Ave
Ste 323
Savannah, GA 31406
Phone (912) 323-5885

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1013456821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SUMMER WINDS DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102929",
            "telephone_number": "912-414-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W FAIRMONT AVE",
            "address_2": "SUITE 323",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063455",
            "telephone_number": "912-414-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN REHABILITATION AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-414-1127"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137626",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.