Lifestyle Transitions, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LIFESTYLE TRANSITIONS, PLLC

Practice address

9328 Wood Duck Dr
Fort Worth, TX 76118-7784

Phone

(817) 891-3255

Fax

(682) 253-2366

NPI assigned

Nov 11, 2020

Last updated

Mar 17, 2024By 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

Mrs. Lisa Michelle Holloway, OTNPI 1518577469

Title

Owner

Phone

(817) 891-3255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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.

• Lisa Michelle Holloway, OT, MHL, CAPS

  • Occupational Therapist
  • Fort Worth, TX
  • NPI 1518577469
  Medicare reassignment NPD Authorized official
• Morgan Gibson, OTD, OTR/L

  • Occupational Therapist
  • Grapevine, TX
  • NPI 1619730009
  Medicare reassignment NPD

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1184226490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9328 WOOD DUCK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761187784",
            "telephone_number": "682-253-2366",
            "fax_number": "817-537-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9328 WOOD DUCK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761187784",
            "telephone_number": "817-891-3255",
            "fax_number": "682-253-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE TRANSITIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-891-3255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifecycle Dental Resource Inc. (Lifecycle dental)
• Lifeforce Opportunity Inc
• Lifeguard Aeromed Inc.
• Lifelink of Texas LLC (LifeLink)
• Lifestyle Bariatrics and Vascular Health
• Lifetime and Cosmetic Dentistry
• Lifevantage House Calls PLLC
• Lifewise Counseling and Wellness, LLC
• Light Bright Counseling Center, PLLC
• Kimberly A Light, FNP

• Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.