Organization Active NPI

Life in Motion Physical & Hand Therapy

  • Orthopedic Physical Therapist
  • Pinellas Park, FL
National Provider Identifier
1194152439
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
LIFE IN MOTION PHYSICAL & HAND THERAPY
Practice address
9125 US Highway 19 N
Pinellas Park, FL 33782-5406
Phone
(727) 369-6355
Fax
(727) 362-4766
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Adrienne Driggers Riveros, MOTR/LNPI 1609012426
Title
Occupational Therapist / Co-Owner
Phone
(727) 369-6355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X Primary
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X

Addresses

Primary practice location

9125 US Highway 19 N
Pinellas Park, FL 33782-5406

Mailing address

9125 US Highway 19 N
Pinellas Park, FL 33782-5406
Phone (727) 369-6355

Other practice location 1

4820 Park Blvd
Suite E
Pinellas Park, FL 33781-3534
Phone (727) 369-6355

Other practice location 2

9021 Oakhurst Rd Ste A
Seminole, FL 33776-2156
Phone (727) 369-6355

Other practice location 3

4820 Park Blvd
Suite E
Pinellas Park, FL 33781-3534
Phone (727) 369-6355

Other identifiers 2

IdentifierTypeStateIssuer
7006350001OtherFLMEDICARE DME PTAN
HR981AOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140304000141 FL Part B Supplier - Clinic/Group Practice 8527298140 Receives reassigned benefits from 5 practitioners
Practice locations: Pinellas Park, FL

National Provider Directory

National Provider Directory

Locations

9125 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 369-6355

4820 Park Blvd N
Ste E
Pinellas Park, FL 33781
Phone (727) 369-6355

9021 Oakhurst Rd
Ste A
Seminole, FL 33776
Phone (727) 369-6355

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1194152439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 US HIGHWAY 19 N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825406",
            "telephone_number": "727-369-6355",
            "fax_number": "727-362-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 US HIGHWAY 19 N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825406",
            "telephone_number": "727-369-6355",
            "fax_number": "727-362-4766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4820 Park Blvd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813534",
            "country_code": "US",
            "telephone_number": "727-369-6355",
            "fax_number": "727-362-4766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9021 Oakhurst Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337762156",
            "country_code": "US",
            "telephone_number": "727-369-6355",
            "fax_number": "727-362-4766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4820 Park Blvd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813534",
            "country_code": "US",
            "telephone_number": "727-369-6355",
            "fax_number": "727-362-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE IN MOTION PHYSICAL & HAND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "RIVEROS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "DRIGGERS",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST / CO-OWNER",
        "authorized_official_telephone_number": "727-369-6355",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME PTAN",
            "identifier": "7006350001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HR981A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.