Lifestyle Rehab PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIFESTYLE REHAB PT PC

Practice address

45 Linda Ave
Staten Island, NY 10305-4750

Phone

(718) 676-9679

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Ahmed Hammam

Title

PT

Phone

(718) 841-7392

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1477934537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LINDA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054750",
            "telephone_number": "718-676-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LINDA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054750",
            "telephone_number": "718-676-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "HAMMAM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "718-841-7392"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeline Pharmacy Incorporated
• Lifes Bounty Medical Care P C
• Lifespire, Inc.
• Lifespire, Inc.
• Lifespire, Inc.
• Lifestyles for the Disabled, Inc. (Lifestyles)
• Lifetime Changes Behavior Services LLC
• Emily Elizabeth Lighthall
• Anthony Ralph Liguori, DPT, PT
• Diane Liguori, RN

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.