Lifecraft LLC

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

LIFECRAFT LLC

Practice address

515 Lincolnway
La Porte, IN 46350-3363

Phone

(269) 612-7222

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Kristy Jo PutnamNPI 1639786361

Title

Manager

Phone

(269) 612-7222

Specialties & licenses 5

Addresses

Locations

Practitioners 1

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

• Kristy Jo Putnam

  • Athletic Trainer
  • Three Oaks, MI
  • NPI 1639786361

  Health Educator

  NPD Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1407420573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503363",
            "telephone_number": "269-612-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503363",
            "telephone_number": "269-612-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECRAFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-612-7222"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "226000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreational Therapist Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore James Lefeber, DMD
• Susan Lenig, LMHCA
• Debra Jane Leroy, LCSW
• Chen Liang
• Liberty Dialysis - Duneland LLC
• Lincoln Pediatrics
• Linda Sirugo, MD, PC
• Kelcie Lindsey, RBT
• Ryan Lingle, DO
• Link Psychological & Consulting Serv

• Recreation Therapist in La Porte, IN
• Providers in La Porte, IN by specialty
• Recreation Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.