Life Clinic, P.a.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3221 Issued in MN

Legal business name

LIFE CLINIC, P.A.

Practice address

5525 Cedar Lake Rd S
St Louis Park, MN 55416-1420

Phone

(651) 690-0866

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Reza P Alizadeh, D.C.NPI 1538214598

Title

Chiropractor

Phone

(612) 868-6894

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 36

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

• Reza Pour Alizadeh, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1538214598
  Medicare reassignment NPD Authorized official
• Daniel Dino Cianni, D.C.

  • Chiropractor
  • Woodbury, MN
  • NPI 1437596350
  Medicare reassignment Care Compare group NPD
• Daniel James Daly, D.C.

  • Chiropractor
  • Shakopee, MN
  • NPI 1497145650
  Medicare reassignment Care Compare group NPD
• Benjamin Joseph Degenhardt, DC

  • Chiropractor
  • Eagan, MN
  • NPI 1114657053
  Medicare reassignment Care Compare group NPD
• Jack Erickson, DC

  • Chiropractor
  • Eagan, MN
  • NPI 1194438374
  Medicare reassignment Care Compare group NPD
• Lance Matthew Erickson, DC

  • Chiropractor
  • Edina, MN
  • NPI 1649849795
  Medicare reassignment Care Compare group NPD
• Travis Gilbertson, DC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1720595481

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Aaron C. Howe, D.C.

  • Chiropractor
  • Farmington, MN
  • NPI 1427395219
  Medicare reassignment Care Compare group NPD
• Luke Matthew Jakubowski, D.C.

  • Sports Physician Chiropractor
  • Eagan, MN
  • NPI 1649329749
  Medicare reassignment Care Compare group NPD
• Cody Neil King, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1275343873
  Medicare reassignment Care Compare group NPD
• William B Lutz, DC, ATC, MS

  • Chiropractor
  • Saint Paul, MN
  • NPI 1851747505
  Medicare reassignment Care Compare group NPD
• Alexander M McHugh, DC

  • Chiropractor
  • Waconia, MN
  • NPI 1578224200
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1023296167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HAMLINE AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052231",
            "telephone_number": "651-690-0866",
            "fax_number": "651-690-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161420",
            "telephone_number": "651-690-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "612-868-6894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "3221",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Marie Lick, R.D., L.D.
• Wayne D Liebhard, M.D.
• Jack L Liebo, M.D.
• Life and Light LLC
• Life Clinic Medical, PA
• Life Medical, P.a.
• Lifeclinic PA
• Lifeclinic Rehabilitation and Chiropractic
• Lifescan Minnesota Stand Up MRI LLC
• Lifespark Home Health LLC

• Rehabilitation Chiropractor in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Rehabilitation Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.