Organization Active NPI

Live Life Physiotherapy Inc

  • Physical Therapy Clinic/Center
  • Santee, CA
National Provider Identifier
1194346874
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LIVE LIFE PHYSIOTHERAPY INC
Practice address
9886 Bilteer Dr
Santee, CA 92071-1564
Phone
(619) 871-7028
NPI assigned
May 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Karl BurrisNPI 1578939831
Title
Owner
Phone
(619) 800-8173

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9886 Bilteer Dr
Santee, CA 92071-1564

Mailing address

9886 Bilteer Dr
Santee, CA 92071-1564
Phone (619) 871-7028

Other practice location 1

10201 Three Oaks Way
Santee, CA 92071-1123
Phone (619) 871-7028

Other names 1

  • Burris Physical Therapy and Wellness Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address karl@livelifephysio.com
Direct Messaging Address karl@burrisphysicaltherapy.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210208001141 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820402605 Receives reassigned benefits from 1 practitioner
Practice locations: Santee, CA

National Provider Directory

National Provider Directory

Locations

8622 Argent St
Ste F
Santee, CA 92071
Phone (619) 800-8173

Practitioners & affiliated clinicians

Practitioners 1

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": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1194346874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9886 BILTEER DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711564",
            "telephone_number": "619-871-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9886 BILTEER DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711564",
            "telephone_number": "619-871-7028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 Three Oaks Way",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920711123",
            "country_code": "US",
            "telephone_number": "619-871-7028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVE LIFE PHYSIOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-800-8173"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karl@livelifephysio.com",
            "affiliation": "N",
            "address_1": "9886 Bilteer Dr",
            "city": "Santee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920711564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karl@burrisphysicaltherapy.com",
            "affiliation": "N",
            "address_1": "10201 Three Oaks Way",
            "city": "Santee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920711123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Burris Physical Therapy and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.