Lifestyle Rehab and Wellness, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT617 Issued in DC

Legal business name

LIFESTYLE REHAB AND WELLNESS, LLC

Practice address

80 M St SE
Washington, DC 20003-3544

Phone

(202) 262-1182

NPI assigned

Sep 4, 2014

Organization subpart

No

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

Authorized official

Name

Tanya BrownNPI 1902214299

Title

Ceo

Phone

(202) 262-1182

Specialties & licenses 1

Addresses

Other names 1

• none Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 4

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

• Tanya Brown, OT/L

  • Occupational Therapist
  • Washington, DC
  • NPI 1902214299
  Medicare reassignment Care Compare group NPD Authorized official
• Herman Green, P. T.

  • Physical Therapist
  • Washington, DC
  • NPI 1780977090
  Medicare reassignment Care Compare group NPD
• Eno-Obong Umoh, MS, CCC-SLP

  • Speech-Language Pathologist
  • Washington, DC
  • NPI 1083271506
  Medicare reassignment Care Compare group NPD
• Karen Young

  • Occupational Therapist
  • Washington, DC
  • NPI 1750778965
  NPD (past)

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1316348741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 PISCATAWAY DR",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207446620",
            "telephone_number": "202-262-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 M ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033544",
            "telephone_number": "202-262-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE REHAB AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-262-1182"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Lifetree Health, Inc
• Margaret Liggett, NP
• Malcom L Liggins
• Light Home Care Services LLC

• Occupational Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Occupational Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.