Life Span Rehab Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

HCC3748 Issued in FL

Legal business name

LIFE SPAN REHAB CORP

Practice address

4710 N Habana Ave
Suite 301
Tampa, FL 33614

Phone

(813) 871-5882

Fax

(813) 871-5884

NPI assigned

Sep 20, 2006

Last updated

Jun 24, 2010By 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. Linda Liz Camara

Title

President & Administrator Life Span

Phone

(813) 871-5882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Eneida Guzman Santiago, PHYSICAL THERAPIST R

  • Physical Therapist
  • Tampa, FL
  • NPI 1194868489
  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1386741189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335090161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE",
            "address_2": "SUITE 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-871-5882",
            "fax_number": "813-871-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SPAN REHAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "CAMARA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LIZ",
        "authorized_official_title_or_position": "PRESIDENT & ADMINISTRATOR LIFE SPAN",
        "authorized_official_telephone_number": "813-871-5882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "HCC3748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Focus Group of Tampa Bay
• Life Long Home Care Corp
• Life of Purpose Inc.
• Life Senior Home Care Corp
• Life Senior Home Care Corp
• Life Vision's LLC. (Life Vision's Assisted Living and Quality Care)
• Life's Hope Care Home Inc
• Lifecare Fusion Home Health LLC (Fusion Healthcare)
• Lifecare Home Inc (Oakland Manor Alf)
• Lifecare Medical Equipments LLC

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.