Active NPI
Lifespan Rehabilitation, LLC
- Physical Disabilities Residential Treatment Facility
- Vero Beach, FL
National Provider Identifier
1578884490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Greenville, NC
- NPI 1770720237
-
- Surgery Physician
- Missoula, MT
- NPI 1841283785
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.