Lifestyle Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0085701 Issued in NY

Legal business name

LIFESTYLE PHYSICAL THERAPY, PC

Practice address

309 E Main St
Ste 202
Smithtown, NY 11787-2844

Phone

(631) 360-0313

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joel L. Meyers, P.T., DPT

Title

President

Phone

(631) 360-0313

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073680641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "address_2": "STE 202",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872844",
            "telephone_number": "631-360-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "address_2": "STE 202",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872844",
            "telephone_number": "631-360-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-360-0313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T., DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0085701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01914570",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Libretti, DO
• Michael Liccese Jr., R.N.
• Randi Lieberman
• Michelle Liebert, M.D.
• Lawrence Martin Lieblich, MD
• Grace Lim, LMSW
• Lily Limsuvanrot, D.O.
• Linda Hall
• Linda Hyman, LCSW, PC
• Lindroth International Inc

• Physical Therapist in Smithtown, NY
• Providers in Smithtown, 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 Aug 22, 2020; 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.