Centerlife Therapy, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CENTERLIFE THERAPY, LLC

Practice address

4904 NE 123Rd LN
Oxford, FL 34484-9630

Phone

(352) 502-6513

NPI assigned

Nov 1, 2019

Last updated

Nov 22, 2019By 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

Tracy Renna, OTRNPI 1285960229

Title

Owner

Phone

(352) 502-6513

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tracy Renna, OTR

  • Occupational Therapist
  • Oxford, FL
  • NPI 1285960229
  Authorized official Same address or phone

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1144864133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 NE 123RD LN",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344849630",
            "telephone_number": "352-502-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 NE 123RD LN",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344849630",
            "telephone_number": "352-502-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERLIFE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "RENNA",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-502-6513",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Marie Brown, L.M.T.
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• Rehabilitation Clinic/Center in Oxford, FL
• Providers in Oxford, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.