Lifespan Physiotherapy Staffing, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFESPAN PHYSIOTHERAPY STAFFING, INC

Doing business as

Lifespan Physical Therapy Services

Practice address

2941 4TH Ave
San Diego, CA 92103

Phone

(619) 888-5838

Fax

(619) 568-3313

NPI assigned

Aug 24, 2009

Last updated

Apr 11, 2023By 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

Mr. Armin ShaverdianNPI 1710158944

Title

President

Phone

(858) 412-9349

Specialties & licenses 4

Addresses

Other names 1

• Lifespan Physical Therapy Services Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: office@lifespanpt.com

Practitioners 2

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.

• Armin Shaverdian, PT

  • Physical Therapist
  • San Diego, CA
  • NPI 1710158944
  Authorized official Same address or phone
• Robert Hartnett III, PT, DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1396392536
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1578795688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035901",
            "telephone_number": "619-888-5838",
            "fax_number": "619-568-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-888-5838",
            "fax_number": "619-568-3313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3435 Camino Del Rio S Ste 334",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92108",
            "country_code": "US",
            "telephone_number": "619-888-5838",
            "fax_number": "619-568-3313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESPAN PHYSIOTHERAPY STAFFING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "SHAVERDIAN",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-412-9349",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT34535",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT34535",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "OFFICE@LIFESPANPT.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL INTAKE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "3435 Camino Del Rio S Ste 334",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921083916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lifespan Physical Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.