Therapeutic Lifestyle Solutions LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERAPEUTIC LIFESTYLE SOLUTIONS LLC

Practice address

4702 Cortez Road
W Bradenton, FL 34210

Phone

(941) 761-1333

NPI assigned

Feb 10, 2016

Organization subpart

No

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

Authorized official

Name

Toya Crutchfield

Title

Owner

Phone

(941) 761-1333

Specialties & licenses 2

Addresses

Locations

Practitioners 5

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

• Emma Keller, SLP

  • Speech-Language Pathologist
  • Bradenton, FL
  • NPI 1336576354
  NPD
• Stephen Lee Miller, PTA

  • Physical Therapy Assistant
  • Bradenton, FL
  • NPI 1811501349
  NPD
• Ashley A Morgan, OTR/L

  • Occupational Therapist
  • Bradenton, FL
  • NPI 1780086041
  NPD
• Mark Orloski, DPT

  • Physical Therapist
  • Bradenton, FL
  • NPI 1295311744
  NPD
• Lyra Escobar, DPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1013588482
  NPD (past)

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1053779611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 CORTEZ ROAD",
            "city": "W BRADENTON",
            "state": "FL",
            "postal_code": "34210",
            "telephone_number": "941-761-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 CORTEZ ROAD",
            "city": "W BRADENTON",
            "state": "FL",
            "postal_code": "34210",
            "telephone_number": "941-761-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC LIFESTYLE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "CRUTCHFIELD",
        "authorized_official_first_name": "TOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-761-1333"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.