Life in Motion Orthotic & Prosthetic Center, Inc.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

036F01 Issued in KS

Legal business name

LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC.

Practice address

443 N Saint Francis Ave Ste E
Wichita, KS 67202-2629

Phone

(316) 640-7267

Fax

(620) 225-0102

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael A Rolle, ABC CERTIFIED CP2919

Title

President, O & P Practicioner

Phone

(316) 640-7267

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275560518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010055",
            "telephone_number": "316-640-7267",
            "fax_number": "620-225-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 N SAINT FRANCIS AVE STE E",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022629",
            "telephone_number": "316-640-7267",
            "fax_number": "620-225-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "ROLLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, O & P PRACTICIONER",
        "authorized_official_telephone_number": "316-640-7267",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABC CERTIFIED CP2919"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "KS",
            "license": "036F01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "118318",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200405850A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collin Lietz, PHARMD
• Tiffany Lisa Lieurance, D.O.
• Michael W Lievens, MD
• Life Balancing Center
• Life Care Center Wichita
• Life Solutions
• Life Source Medical Supply, Inc.
• Life Works
• Lifecare Center of Wichita
• Lifeline Stop Smoking Clinic, LLC

• Prosthetics Case Management in Wichita, KS
• Providers in Wichita, KS by specialty
• Prosthetics Case Management in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.