Better Life MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BETTER LIFE MD PC

Practice address

3325 Willowcreek Rd
Portage, IN 46368-5015

Phone

(312) 933-0661

NPI assigned

Jul 5, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Olusola Olowe, MDNPI 1770783748

Title

Ceo

Phone

(312) 933-0661

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Olusola Akintunde Olowe, MD

  • Physical Medicine & Rehabilitation Physician
  • Michigan City, IN
  • NPI 1770783748
  Medicare reassignment Care Compare group NPD Authorized official
• Laura Stablein, FNP

  • Family Nurse Practitioner
  • Portage, IN
  • NPI 1194474809
  Medicare reassignment Care Compare group NPD
• Elizabeth Ann Vasquez, FNP-C

  • Family Nurse Practitioner
  • Portage, IN
  • NPI 1548985559
  Medicare reassignment Care Compare group NPD
• Bethany Michielsen, FNP-C

  • Primary Care Nurse Practitioner
  • Portage, IN
  • NPI 1437784451
  NPD (past)

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593907200000",
    "number": "1013534155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 BEECH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211440",
            "telephone_number": "312-933-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685015",
            "telephone_number": "312-933-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER LIFE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A",
        "authorized_official_last_name": "OLOWE",
        "authorized_official_first_name": "OLUSOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-933-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300013117",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Bassetto, O.D.
• Susan Bates
• Aaron M Beck, PHARM.D
• Michael M Bermudez, MD
• Sara Elizabeth Berry, FNP
• Jennifer Betts-Hudson, EMTB
• Bewick Dental Corp
• Patricia Evelyn Biel, FNP-BC
• Glendia Biggs
• Joelynn Bigheart

• Physical Medicine & Rehabilitation Physician in Portage, IN
• Providers in Portage, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.