NPIMap

Organization Active NPI

Life Step Therapy Inc.

  • Early Intervention Provider Agency
  • Chula Vista, CA
National Provider Identifier
1609313675
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
14102 Issued in CA
Legal business name
LIFE STEP THERAPY INC.
Practice address
1921 Corte Belize
Chula Vista, CA 91914-4617
Phone
(619) 987-9808
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Leaha ElrodNPI 1477090447
Title
Clinical Director
Phone
(619) 987-9808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 14102 CA Primary

Addresses

Primary practice location

1921 Corte Belize
Chula Vista, CA 91914-4617

Mailing address

1921 Corte Belize
Chula Vista, CA 91914-4617
Phone (619) 987-9808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200403002370 CA Part B Supplier - Clinic/Group Practice 6406285980 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

865 Anchorage Pl
Chula Vista, CA 91914
Phone (619) 271-4957

Practitioners & affiliated clinicians

Practitioners 7

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": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1609313675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 CORTE BELIZE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144617",
            "telephone_number": "619-987-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 CORTE BELIZE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144617",
            "telephone_number": "619-987-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STEP THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "ELROD",
        "authorized_official_first_name": "LEAHA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "619-987-9808"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "14102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.