Organization Active NPI

Live Life Therapy Inc

  • Durable Medical Equipment & Medical Supplies
  • Fredericksburg, VA
National Provider Identifier
1578062782
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIVE LIFE THERAPY INC
Practice address
10311 Lees Crossing LN
Fredericksburg, VA 22408-0290
Phone
(213) 503-5710
NPI assigned
Feb 3, 2018
Last updated
Mar 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Samuel Girmay
Title
President
Phone
(213) 503-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10311 Lees Crossing LN
Fredericksburg, VA 22408-0290

Mailing address

10311 Lees Crossing LN
Fredericksburg, VA 22408-0290
Phone (213) 503-5710

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1578062782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 LEES CROSSING LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224080290",
            "telephone_number": "213-503-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10311 LEES CROSSING LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224080290",
            "telephone_number": "213-503-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LIFE THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-03",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "GIRMAY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-503-5710"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.