Lifestyle Chiropractic and Training

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2016002467 Issued in MO

Legal business name

LIFESTYLE CHIROPRACTIC AND TRAINING

Practice address

2418 N Highway 67
Florissant, MO 63033-2036

Phone

(314) 395-6910

Fax

(314) 552-7222

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Joanna ThomasNPI 1679023899

Title

Chiropractic Physician

Phone

(217) 766-8765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Joanna Thomas, DC

  • Chiropractor
  • Florissant, MO
  • NPI 1679023899
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1619464146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 N HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630332036",
            "telephone_number": "314-395-6910",
            "fax_number": "314-552-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 N HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630332036",
            "telephone_number": "314-395-6910",
            "fax_number": "314-552-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE CHIROPRACTIC AND TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "217-766-8765"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2016002467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Enhancements CDS
• Life Enhancements Home Health Care, LLC
• Life Enhancements Medical Testing and Diagnostic Services
• Life Skills Foundation
• Lifequest Christian Counseling Services, Inc
• Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.
• Lift a Life Home Health LLC
• Lighthouse Home Healthcare Services LLC
• Lillie'S First Choice
• Lillie'S First Choice CDS LLC

• Rehabilitation Chiropractor in Florissant, MO
• Providers in Florissant, MO by specialty
• Rehabilitation Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.