Organization Active NPI

Lifespan Rehabilitation, LLC

  • Physical Disabilities Residential Treatment Facility
  • Vero Beach, FL
National Provider Identifier
1578884490
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
LIFESPAN REHABILITATION, LLC
Practice address
5083 4TH LN
Vero Beach, FL 32968-1865
Phone
(772) 643-2939
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Timothy Richards Jr.
Title
Manager/Occupational Therapist
Phone
(772) 643-2939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

5083 4TH LN
Vero Beach, FL 32968-1865

Mailing address

5083 4TH LN
Vero Beach, FL 32968-1865

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1578884490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5083 4TH LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329681865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5083 4TH LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329681865",
            "telephone_number": "772-643-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "772-643-2939",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.