Lifestyle Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038508-1 Issued in NY

Legal business name

LIFESTYLE PHYSICAL THERAPY, LLC

Practice address

1384 Broadway Ste 606
New York, NY 10018-6108

Phone

(631) 896-3821

NPI assigned

Aug 4, 2017

Last updated

Nov 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Seltzer, DPTNPI 1780082644

Title

Owner

Phone

(212) 302-0141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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, and the practitioner matching its NPPES authorized official.

• Matthew Ian Seltzer, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1780082644
  Medicare reassignment Care Compare group NPD Authorized official
• Katie Kristine Green

  • Physical Therapist
  • New York, NY
  • NPI 1437729530

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Andrew Sneider, PT, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1235848615
  Medicare reassignment Care Compare group NPD
• Monisha George

  • Physical Therapist
  • New York, NY
  • NPI 1265912554
  Medicare reassignment NPD
• John Sheridan

  • Physical Therapist
  • Huntington, NY
  • NPI 1154876399
  Medicare reassignment NPD
• Nicholas Paul Puleo, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1184406290
  NPD

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1023533619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 BROADWAY STE 606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186108",
            "telephone_number": "212-302-0141",
            "fax_number": "212-302-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 BROADWAY STE 606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186108",
            "telephone_number": "631-896-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "SELTZER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-302-0141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038508-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifespire, Inc.
• Lifespire, Inc.
• Lifestart
• Lifestart
• Lifesteps OBGYN Healthcare for Women, LLP
• Lifestyle Podiatry, PC (Foot Care of New York)
• Lifestyle Rehabilitation LLC
• Lifetime Physical Therapy
• Lifeways Nutrition, PLLC
• Daren Liff, LCSW

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.